BRIAN W DAVIS (NPI# 1760488571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760488571 |
| Entity Type | Individual |
| Full Name | BRIAN W DAVIS |
| Credential | PA-C |
| Practice Address |
360 Peak One Drive Ste 180 Frisco CO 80443 |
| Mailing Address |
Po Box 1921 Englewood CO 80150-1921 |
| Practice Telephone | 9706683633 |
| Practice Fax Number | 9706684406 |
| Mailing Telephone | 9702410202 |
| Mailing Fax Number | 9702450250 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
841 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BLUE CROSS BLUE SHIELD ID | DA252309 | 01 |
| CO | RMHP ID | 680501385006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018075 | Brian Davis | Specialist/Technologist | 127 Taylor Ave, Wheeling, WV 26003-5459 | 2019-02-07 |
| 1881178796 | Brian Wayne Davis | Occupational Therapy Assistant | 20 W Frazier St, Smyrna, DE 19977-1416 | 2018-09-18 |
| 1750863296 | Brian Davis | Technician | 320 Annabelle Ln Apt 112, Henderson, NV 89014-7649 | 2018-08-31 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1124517818 | Brian J Davis | Home Health | 12730 Shaker Blvd Apt 1209, Cleveland, OH 44120-2062 | 2018-05-08 |
| 1134472855 | Brian Robert Davis | Physical Therapist | 253 6th Ave, Saint James, NY 11780-2707 | 2012-10-18 |
| 1295019016 | Brian A Davis | Specialist | 2222 Settlers Way Blvd, Apt 1415, Sugar Land, TX 77478-5262 | 2011-09-29 |
| 1285922294 | Brian Marshall Davis | Speech-Language Pathologist | 1518 Wood Ave, Chesapeake, VA 23325-4030 | 2011-07-12 |
| 1851680094 | Brian R Davis | Chiropractor | 1622 E North St, Ste 10, Greenville, SC 29607-1329 | 2011-03-28 |
| 1679882674 | Brian M. Davis | Occupational Therapist | 41 Pineland Dr, Suite 200, New Gloucester, ME 04260-5111 | 2010-09-25 |
| Street Address |
360 PEAK ONE DRIVE STE 180 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135385 | Javier Gutierrez | Obstetrics & Gynecology | 360 Peak One Drive, Ste 260, Frisco, CO 80443 | 2005-06-23 |
| 1356948475 | Allergy, Asthma & Immunology of The Rockies, PC | Allergy & Immunology | 360 Peak One Drive, Suite #300, Frisco, CO 80443 | 2020-10-01 |
| 1033767942 | Olivia Lent | Physical Therapist | 360 Peak One Drive, Suite 190, Frisco, CO 80443 | 2019-09-04 |
| 1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
| 1245892033 | Colleen Mintz | Nurse Practitioner | 360 Peak One Drive, Suite 180, Frisco, CO 80443-1303 | 2019-07-02 |
| 1881251155 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 110, Frisco, CO 80443 | 2019-05-22 |
| 1962069237 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 360 Peak One Drive, Suite 130, Frisco, CO 80443 | 2019-05-22 |
| 1558928820 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 140, Frisco, CO 80443 | 2019-05-22 |
| 1518524958 | Marshall Alexander Kowal | Counselor | 360 Peak One Drive, Ste.110, Frisco, CO 80443 | 2019-05-21 |
| 1194292714 | Kayle Hisey | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1568882926 | Premier Surgical Assists of North Texas Pllc | Physician Assistant | 4401 Coit Rd Ste 305, Frisco, TX 75035-0509 | 2014-04-23 |
| 1588613723 | Angela Gale Sanders-banuelas | Physician Assistant | 4461 Coit Rd Ste 101, Frisco, TX 75035-0522 | 2006-05-06 |
| 1215904289 | Mark Anthony Perkins | Physician Assistant | 3245 W Main St, Suite 235-182, Frisco, TX 75034-4411 | 2006-03-08 |
| 1508424169 | Heritage Surgical Assist Associates Pllc | Physician Assistant | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7399 | 2019-05-30 |
| 1205251865 | Kelli Breidenbach | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2014-02-19 |
| 1285978098 | Neurosurgical Pas of North Texas, Pa | Physician Assistant | 4461 Coit Rd., Suite 405, Frisco, TX 75035 | 2012-11-16 |
| 1346530086 | Perkins 1st Assistants LLC | Physician Assistant | 3245 W Main St, Ste 235-182, Frisco, TX 75034-4411 | 2011-04-14 |
| 1225155633 | Trisha Trevino Fennell | Physician Assistant | 4461 Coit Rd, Suite 301, Frisco, TX 75035-0521 | 2007-03-23 |
| 1033241732 | Michael Lee Burns | Physician Assistant | 4461 Coit Rd, Ste 101, Frisco, TX 75035-0521 | 2007-03-09 |
| Find all providers in FRISCO | ||||
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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.