DR. IAN JONATHAN DAVIS (NPI# 1679532899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679532899 |
| Entity Type | Individual |
| Full Name | DR. IAN JONATHAN DAVIS |
| Credential | MD, PHD |
| Practice Address |
101 Manning Dr Chapel Hill NC 27599-0001 |
| Mailing Address |
143 W Franklin St Chapel Hill NC 27516-2539 |
| Practice Telephone | 9199665360 |
| Practice Fax Number | 9199668212 |
| Mailing Telephone | 9199665360 |
| Mailing Fax Number | 9199668212 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
157792 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BMC HEALTHNET | 000000025972 | 01 | |
| MA | MASSACHUSETTS BLUE CROSS | J19511 | 01 |
| HPHC DFCI ONLY | 204827 | 01 | |
| MA | 3185753 | 05 | |
| CIGNA | 7863442 | 01 | |
| AETNA US HEALTHCARE | 2928020 | 01 | |
| FALLON COMMUNITY HEALTH P | 53255 | 01 | |
| TUFTS | 781010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972612 | Ian Josiah Davis | Physical Therapist | 1159 Main St Unit A, Windsor, CO 80550-4711 | 2019-06-25 |
| 1902003395 | Ian James Davis | Internal Medicine | 2720 Sunset Boulevard, West Columbia, SC 29169-0004 | 2007-06-28 |
| 1154359776 | Ian Davis | Chiropractor | 10030 15th Ave Sw, Seattle, WA 98146-3728 | 2006-06-30 |
| 1104301977 | Ian William Davis | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2018-09-27 |
| 1952808966 | Ian Charles Davis | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2018-04-07 |
| Street Address |
101 MANNING DR |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
| 1689273138 | Matthew Eaton Cornwell | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-10-25 |
| 1952900771 | Christina Rose Villanova | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-22 |
| 1861091134 | Yulia Nemtsev | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-19 |
| 1811595556 | Alison Baron-johnson | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-14 |
| 1780282947 | Matthew Fram | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-10 |
| 1508471806 | Emily Hartman | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-09-13 |
| 1013522424 | Hannah Chicowlas Morgan | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-09-11 |
| 1508479270 | Dhruthi Patel | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1902011778 | Brian Feldman | Pediatrics | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-14 |
| 1750462685 | Brent Weston | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1891875415 | Paul Monahan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-17 |
| 1073693453 | Rupa Redding-lallinger | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-17 |
| 1841380557 | Stuart Gold | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-13 |
| 1427146687 | Julie Blatt | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-11 |
| 1174588222 | John B. Hipps | Pediatrics | 170 Manning Dr, Campus Box 7236, Chapel Hill, NC 27514-4221 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831380088 | Poulomi Jeevan Pai | Pediatrics | Duke Medical Center, Box Number 2916, Bell Building, Durham, NC 27710-0001 | 2007-08-05 |
| 1942246319 | Pamela F Bensimhon | Pediatrics | 1050 Revolution Mill Dr, Greensboro, NC 27405-5052 | 2006-06-22 |
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1528467586 | The Presbyterian Hospital | Pediatrics | 301 Hawthorne Ln, Charlotte, NC 28204-2450 | 2014-08-15 |
| 1922343987 | Carolinas Medical Center | Pediatrics | 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | 2012-12-03 |
| 1457695454 | Carolinas Medical Center | Pediatrics | 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 | 2012-11-15 |
| 1861747479 | Carolinas Physicians Network Inc | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2012-07-19 |
| 1487940375 | Erin Trovillion | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2011-06-20 |
| 1093030496 | Michael Dean Deel | Pediatrics | 2301 Erwin Road, Durham, NC 27710-8047 | 2010-03-29 |
| 1003130055 | Kristina Harrell | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-03-19 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.