DAVA C HUMMEL (NPI# 1760030084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760030084 |
| Entity Type | Individual |
| Full Name | DAVA C HUMMEL |
| Credential | PA-C |
| Practice Address |
1723 Broadway St Ste 315 Cape Girardeau MO 63701-4556 |
| Mailing Address |
303 N Georgia St Jackson MO 63755-1412 |
| Practice Telephone | 5735194960 |
| Mailing Telephone | 6363779047 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1723 BROADWAY ST STE 315 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133129 | Andrew J Lawrence | Family Medicine | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2011-06-30 |
| 1205495272 | Sivagamy Nyanzi | Nurse Practitioner | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-06-12 |
| 1992261671 | Stephanie Kulavic | Specialist/Technologist | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-02-18 |
| 1831675552 | Beth Allyson Simmons | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2018-07-16 |
| 1891160164 | Jennifer Lang | Advanced Practice Midwife | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2015-12-11 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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 |
|---|---|---|---|---|
| 1215570908 | Brooke Lynn Homann | Physician Assistant | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2019-10-24 |
| 1568003622 | Aaron Nicholas Dodge | Physician Assistant | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2019-09-30 |
| 1144871237 | Taylor Lane Mcclard | Physician Assistant | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2019-09-20 |
| 1831675552 | Beth Allyson Simmons | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2018-07-16 |
| 1932557790 | Erica Ellen Nelson | Physician Assistant | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2016-06-01 |
| 1528425659 | Melinda H Zych | Physician Assistant | 3004 Gordonville Rd, Cape Girardeau, MO 63703-5008 | 2016-01-20 |
| 1093069056 | Cape Girardeau Emergency Group LLC | Physician Assistant | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2012-10-30 |
| 1902158959 | Cape Girardeau Physician Services LLC | Physician Assistant | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2012-10-15 |
| 1053663641 | Sarah Eloise Oliver | Physician Assistant | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2012-10-08 |
| 1457606618 | Jason Douglas | Physician Assistant | 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2012-07-13 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on DAVA C HUMMEL.
| 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.