KEVIN LEE DAVIS (NPI# 1750739405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750739405 |
| Entity Type | Individual |
| Full Name | KEVIN LEE DAVIS |
| Credential | PA-C |
| Practice Address |
111 W 5th St Justin TX 76247-9622 |
| Mailing Address |
Po Box 1118 Justin TX 76247-1118 |
| Practice Telephone | 9406481402 |
| Practice Fax Number | 9406481400 |
| Mailing Telephone | 9406481402 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | TX | Emergency Medical Service Providers | |
| N | 207Q00000X | Family Medicine | PA10658 | TX | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA10658 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305711 | Kevin Davis | Counselor | 400 W 76th St Ste 324, Chicago, IL 60620-1640 | 2018-11-14 |
| 1972019925 | Kevin K Davis Jr. | Physician Assistant | 1101 N 27th St Ste F, Billings, MT 59101-0100 | 2017-12-28 |
| 1679092092 | Kevin Davis | Physical Therapist | 4083 Austin Bluffs Pkwy Ste 101a, Colorado Springs, CO 80918-5928 | 2017-09-18 |
| 1497027502 | Kevin D Davis | Registered Nurse | 44 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2135 | 2012-02-04 |
| 1285849240 | Kevin Ruth Davis | Social Worker | 701 Mount Vernon Ave, Charlotte, NC 28203-4840 | 2007-05-13 |
| 1063561017 | Kevin W Davis | Chiropractor | 880 Lawrence Rd, Suite 180, Kemah, TX 77565-2707 | 2007-01-09 |
| 1366537169 | Kevin W. Davis | Chiropractor | 1502 N 13th St, Norfolk, NE 68701-2381 | 2006-10-04 |
| 1629069141 | Kevin S Davis | Specialist | 123 Weaver Rd Ste A, Blairsville, GA 30512 | 2005-11-03 |
| 1326047119 | Kevin W Davis | Podiatrist | 312 Northcrest Dr, Springfield, TN 37172-3963 | 2005-07-14 |
| 1265430482 | Kevin B. Davis | Obstetrics & Gynecology | 806 West 3rd St, San Juan, TX 78589-2276 | 2005-07-12 |
| Street Address |
111 W 5TH ST |
| City | JUSTIN |
| State | TX |
| Zip Code | 76247-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285757 | Beatriz Magee | Technician | 9320 Porter Ln, Dish, TX 76247 | 2019-10-07 |
| 1386109650 | Pediatric Dentistry of Northlake Pllc | Dentist | 8151 Thompson Road, Northlake, TX 76247 | 2019-01-31 |
| 1164919460 | April Reed | Occupational Therapy Assistant | 1300, 2400 Westport Pkwy, Fort Worth, TX 76247 | 2018-04-23 |
| 1285180992 | David Keith Elder | Massage Therapist | 8520 Longhorn Dr., Justin, TX 76247 | 2016-09-01 |
| 1912247354 | Justin Family Dentistry, Pa | Dentist | 536 S. Fm 156, Justin, TX 76247 | 2013-02-21 |
| 1275838120 | Jason Cody Squyres | Chiropractor | 15080 Hwy 156, Suite C, Justin, TX 76247 | 2011-01-24 |
| 1811145576 | Natalie Marie Hull | Family Medicine | 1800 State Highway 114, Justin, TX 76247 | 2008-09-05 |
| 1194901918 | Kamali Chiropractic | Chiropractor | 950 South Highway 156, #10, Justin, TX 76247 | 2008-01-10 |
| 1619169448 | Jessica Raechelle Judge | Chiropractor | 112 W. 4th St, Justin, TX 76247 | 2007-08-15 |
| 1831229384 | Justin Volunteer Fire Department | Ambulance | 310 N Sealy Ave, Justin, TX 76247 | 2007-03-06 |
| Find all providers in zip 76247 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509880 | Caleb Robertson Harbin | Physician Assistant | 112 W 4th St, Justin, TX 76247-5014 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.