DR. GREG E. DAVIS (NPI# 1679689145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679689145 |
| Entity Type | Individual |
| Full Name | DR. GREG E. DAVIS |
| Credential | MD, MPH |
| Practice Address |
104 27th Ave Se Puyallup WA 98374-1145 |
| Mailing Address |
Po Box 1205 Puyallup WA 98371-0231 |
| Practice Telephone | 2537709000 |
| Practice Fax Number | 2537709712 |
| Mailing Telephone | 2537709000 |
| Mailing Fax Number | 2537709712 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ML20006538 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA L&I | 412916 | 01 |
| WA | 1016235 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983706 | Greg Keith Davis | Student in an Organized Health Care Education/Training Program | 1305 Eisenhower Dr, Augusta, GA 30904-5934 | 2017-10-16 |
| 1760536080 | Greg W Davis | Pharmacist | 2655 Mediros Ln, Clearlake, CA 95422-8179 | 2007-01-23 |
| 1336257435 | Greg C. Davis | Chiropractor | 2240 Mcculloch Blvd N, Ste C, Lake Havasu City, AZ 86403-6904 | 2006-08-28 |
| 1699960039 | Greg Ron Davis | Dentist | 467 S Rivershore Ln, Eagle, ID 83616-4978 | 2007-09-10 |
| 1891832101 | Greg Davis | Counselor | 1420 Neal St, Suiteb 202, Cookeville, TN 38501-4333 | 2007-01-30 |
| 1619060167 | Greg J Davis | Internal Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2006-10-02 |
| 1154359636 | Greg Davis | Dentist | 5321 Center St, Omaha, NE 68106-2338 | 2006-06-30 |
| Street Address |
104 27TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459283 | Wayne Joseph Harsha | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-03-02 |
| 1407223985 | Proliance Surgeons, Inc., P.s. | Allergy & Immunology | 104 27th Ave Se, Puyallup, WA 98374 | 2015-08-31 |
| 1104149210 | Ear, Nose, Throat & Allergy Assoicaties Ps | Audiologist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2010-03-03 |
| 1851517528 | Ear,nose,throat &allergy Associates Ps | Audiologist-Hearing Aid Fitter | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-04-18 |
| 1427192988 | Vivian Mae Yu | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-02-17 |
| 1508902081 | Julie Allina Gustafson | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-30 |
| 1154488732 | Ear,nose,throat & Allergy Associates Ps | Specialist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-02 |
| 1619907953 | Randall Paul Bennett | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-07-03 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1851327324 | Charles V. Edmond Jr. | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459283 | Wayne Joseph Harsha | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-03-02 |
| 1669448346 | Douglas Melville Sorensen | Otolaryngology | 9003 166th Street Ct E, Puyallup, WA 98375-2029 | 2006-02-23 |
| 1679545875 | William Sterling Duke | Otolaryngology | 1609 S Meridian, Puyallup, WA 98371 | 2006-02-02 |
| 1427192988 | Vivian Mae Yu | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-02-17 |
| 1508902081 | Julie Allina Gustafson | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-30 |
| 1619907953 | Randall Paul Bennett | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-07-03 |
| 1851327324 | Charles V. Edmond Jr. | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
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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.