KEITH ROBERT DAVIS


Address: 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521
Phone: 6195530123

KEITH ROBERT DAVIS (NPI# 1689873192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689873192
Entity Type Individual
Full Name KEITH ROBERT DAVIS
Credential IDC
Practice Address 140 Sylvester Rd
Uss Topeka (ssn 754) Fpo Ap 96679-2410
San Diego
CA 92106-3521
Practice Telephone 6195530123
Practice Fax Number 6195530744
Mailing Telephone 6195530123
Mailing Fax Number 6195530744
Enumeration Date 2007-07-13
Last Update Date 2007-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers KEITH DAVIS

NPI Name Taxonomy Address Enumeration
1225668213 Keith Davis Registered Nurse 10 Elpaso Ct, East Northport, NY 11731-5628 2020-01-19
1184183758 Keith J Davis Psychologist 8113 Crimson Creek Ct, Las Vegas, NV 89139-6909 2019-03-13
1982115036 Keith W Davis Chiropractor 815 E Baseline Rd Ste 106, Tempe, AZ 85283-1572 2017-10-17
1154682573 Keith Phillip Davis Pharmacist 8640 Se Causey Ave Apt S202, Happy Valley, OR 97086-8595 2012-06-01
1528184199 Keith Alan Davis Chiropractor 4640 N Francisco Ave, Chicago, IL 60625-3723 2007-03-22
1346315025 Keith L Davis Dentist 100 Chelsea Corners Way Ste 113, Chelsea, AL 35043-8207 2006-11-21
1952488215 Keith L Davis Family Medicine 741 Scholl Rd, Ste A, Mansfield, OH 44907 2006-11-01
1639268089 Keith Alan Davis Ophthalmology 1011 Sylvan Ave Ste C, Modesto, CA 95350-1693 2006-10-12
1699875419 Keith G Davis Chiropractor 722 Front Street, Casselton, ND 58012-3302 2006-09-22
1104849884 Keith C. Davis Dentist 975 N Church St, Spartanburg, SC 29303-4104 2006-07-25

Office Location

Street Address 140 SYLVESTER RD
USS TOPEKA (SSN 754) FPO AP 96679-2410
City SAN DIEGO
State CA
Zip Code 92106-3521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487641171 Amy Lynn Bryer Dentist 140 Sylvester Rd, Dental Dept, San Diego, CA 92106-3521 2005-09-29
1144860990 Jose Luis Pina Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2020-01-09
1063050276 Jocelyn V. Sazon Registered Nurse 140 Sylvester Rd, San Diego, CA 92106-3521 2019-12-18
1609273390 Michael Ray Williams Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2014-11-25
1831590850 Colwyn Omano Wiltshire Military Health Care Provider 140 Sylvester Rd, Bldg 139, San Diego, CA 92106-3521 2014-09-09
1831537638 Gina Stines Social Worker 140 Sylvester Rd, Sarp Bldg. 500, San Diego, CA 92106-3521 2013-06-13
1457640393 Darwin Thomas Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2011-03-31
1053628321 Mark Michael Heyne Psychologist 140 Sylvester Rd, Building 500, San Diego, CA 92106-3521 2010-09-08
1467784314 Bernard Spraggins Military Health Care Provider 140 Sylvester Rd, Building 5, San Diego, CA 92106-3521 2010-02-03
1467785907 David Fisher Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2009-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650300 Ktre1, LLC Assisted Living Facility 3219 Canon St., San Diego, CA 92106 2019-07-03
1093289910 Ahsha Smith Occupational Therapist 2026 Roosevelt Road, #105, San Diego, CA 92106 2019-01-14
1710429147 William Anthony Rodriquez Social Worker 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 2016-11-16
1992123285 Mark Wilson Occupational Therapist 2820 Roosevelt Road Ste 105, San Diego, CA 92106 2014-04-03
1659704542 Sarah Hanem Izaguirre Counselor 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 2013-08-14
1285945451 Danielle R Michaelis Castillo Marriage & Family Therapist 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 2010-06-23
1588991145 Philip Charles Rumsey Dentist 1050 Rosecrans St., Suite J, San Diego, CA 92106 2009-11-03
1801024575 David Michael Spera Dentist 1050 Rosecrans, #j, San Diego, CA 92106 2009-07-01
1548408834 Dolores Sanchez Pullen Counselor 1360 Rosecrans Street, Suite I, San Diego, CA 92106 2009-01-26
1215188362 Jodi Lynn Ceballos Psychologist 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 2008-10-07
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1346552064 Jeffrey Thomas Gilbert Military Health Care Provider 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 2010-07-10
1467674150 John Dudley Harris Jr. Military Health Care Provider 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 2007-05-03
1730157736 Alfredo Alcalaesparza Military Health Care Provider 2211 Pacific Beach Dr, San Diego, CA 92109-5626 2006-03-08
1447606322 Jeffrey Tyler Whitson Military Health Care Provider 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 2016-05-10
1497927404 Keren Mireya Lemas Military Health Care Provider 2450 Craven St, San Diego, CA 92136-5599 2008-03-31
1740481571 Cindy S Cruzan Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2007-05-30
1932169380 Shirley Hovlid Military Health Care Provider 2650 Stockton Rd, San Diego, CA 92106-6000 2006-03-27
1851368229 Carlos M. Coleman Military Health Care Provider 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 2006-03-03
1023085883 Anthony Petrone Jr. Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2006-03-01
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Competitor

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City SAN DIEGO
Zip Code 92106

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Dataset Information

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.

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