AMANDA SOFIA DAVILA RODRIGUEZ (NPI# 1760732374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760732374 |
| Entity Type | Individual |
| Full Name | AMANDA SOFIA DAVILA RODRIGUEZ |
| Credential | MD |
| Practice Address |
1320 West Main Street Newark OH 43055 |
| Practice Telephone | 2205644000 |
| Practice Fax Number | 2205644342 |
| Mailing Telephone | 2205644000 |
| Mailing Fax Number | 2205644342 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P5957 | TX | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 35.137388 | OH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | P5957 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St, Ms 9406, Lubbock, TX 794300002 | 8067437337 | 8067437329 |
| 4015 22nd Pl, Lubbock, TX 79410 | 8067256000 | 8067237753 |
| Street Address |
1320 WEST MAIN STREET |
| City | NEWARK |
| State | OH |
| Zip Code | 43055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200993 | Rebecca Thomas | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2005-07-29 |
| 1679079016 | Megan Marie Lowry | Nurse Practitioner | 1320 West Main Street, Newark, OH 43055 | 2018-04-04 |
| 1104206564 | Brendan Divis | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2015-06-01 |
| 1366862906 | Andrew Reaven | Anesthesiology | 1320 West Main Street, Newark, OH 43055-1822 | 2014-04-22 |
| 1518302066 | Leah Thornton | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2013-05-09 |
| 1780926337 | John Peter Lazar | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2013-03-21 |
| 1669713483 | Brian F Goodhue | Emergency Medicine | 1320 West Main Street, Newark, OH 43055 | 2013-03-04 |
| 1124373535 | Jason D Carrier | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-07-23 |
| 1033484548 | Deforest Roche Brown | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-03-16 |
| 1922382233 | Tabatha L. Menapace | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055-1822 | 2011-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042698 | St Francis Hospitalist Group LLC | Hospitalist | 131 Continental Dr, Suite 215, Newark, DE 19713-4305 | 2008-01-18 |
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1083009336 | Tobias Banks | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2015-04-03 |
| 1104258979 | Maruf A Ali | Hospitalist | 1320 W Main St, Newark, OH 43055 | 2013-08-05 |
| 1487997896 | Gabrielle Alicia Farkas | Hospitalist | 1320 W Main St, Newark, OH 43055-1822 | 2013-04-03 |
| 1558626531 | Essex Physician Services PC | Hospitalist | 11 Central Ave, Newark, NJ 07102-3101 | 2012-07-06 |
| 1437418571 | Joseph James Santora Jr. | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-09 |
| 1376711044 | Abul Ahsan | Hospitalist | 1320 West Main Street, Newark, OH 43055 | 2008-02-15 |
| 1043415326 | Yuliya S Rehab | Hospitalist | 1200 Driving Park Ave, Newark, NY 14513 | 2007-06-18 |
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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.