DAVIS HEALTH PC (NPI# 1720325772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720325772 |
| Entity Type | Organization |
| Organization Name | DAVIS HEALTH PC |
| Other Organization Name | DAVIS CLINIC, P.C. |
| Practice Address |
275 Hancock St Second Floor Quincy MA 02171-2249 |
| Mailing Address |
1 Clinton Path Unit 1 Brookline MA 02445-4207 |
| Practice Telephone | 6176401402 |
| Mailing Telephone | 6176401402 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | MR. KURT C FABRICK (PRESIDENT) |
| Authorized Official Telephone | 6176401402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Davis Clinic, P.C. | Former Legal Business Name - Organization |
| Street Address |
275 HANCOCK ST SECOND FLOOR |
| City | QUINCY |
| State | MA |
| Zip Code | 02171-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649328261 | North Quincy Chiropractic Services | Chiropractor | 275 Hancock St, Suite 1, Quincy, MA 02171-2249 | 2007-01-08 |
| 1760887434 | Evolve Health, P.C. | Psychologist | 275 Hancock St, Suite 203, Quincy, MA 02171-2249 | 2014-10-23 |
| 1548543515 | Srs LLC | Clinic/Center | 275 Hancock St, Suite 1, Quincy, MA 02171-2249 | 2011-09-26 |
| 1619257987 | Seaton Radiology Services LLC | Clinic/Center | 275 Hancock St, Suite 1, Quincy, MA 02171-2249 | 2011-08-18 |
| 1033404975 | North Quincy Chiropractic Services LLC | Chiropractor | 275 Hancock St, Suite 1, Quincy, MA 02171-2249 | 2011-06-17 |
| 1477792851 | Preventive Medicine Associates | Family Medicine | 275 Hancock St, Quincy, MA 02171-2249 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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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.