MARCUS SAMUEL DAVIS (NPI# 1780114504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780114504 |
| Entity Type | Individual |
| Full Name | MARCUS SAMUEL DAVIS |
| Credential | DO |
| Practice Address |
1605 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2542542150 |
| Practice Fax Number | 2542150636 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R8552 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | BP10061509 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063628931 | Marcus J Davis | Specialist/Technologist | 625 Grizzly Cub Dr, Franklin, IN 46131-1362 | 2007-05-15 |
| 1912907395 | Marcus K. Davis | Pharmacist | 405 E Parkwood Ave, Friendswood, TX 77546-5149 | 2005-07-27 |
| 1902420516 | Marcus Dwayne Davis | Student in an Organized Health Care Education/Training Program | 1890 Alcatraz Ave, Berkeley, CA 94703-2715 | 2020-05-31 |
| 1083187298 | Marcus Dale Davis | Social Worker | 2000 W Blue Heron Blvd, Riviera Beach, FL 33404-5010 | 2019-01-10 |
| 1730549627 | Marcus Davis | Counselor | 1615 Johnson St, Jennings, LA 70546-3650 | 2016-03-04 |
| 1962813840 | Marcus Lonnell Davis | Emergency Medicine | 1101 15th St Nw, Washington, DC 20005-5002 | 2014-05-14 |
| 1316225741 | Marcus Davis | Nurse's Aide | 1531 Halsey Dr, Duncanville, TX 75137-4222 | 2011-08-03 |
| 1871804732 | Marcus Davis | Specialist/Technologist, Other | 5716 Hickory Plz, Suite 200, Nashville, TN 37211-8546 | 2010-06-25 |
| 1063461515 | Marcus B. Davis | Psychologist | 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 | 2006-05-10 |
| Street Address |
1605 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639138605 | Edward Wilson Nicklas II | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2006-03-20 |
| 1548767825 | Hanna Blaney | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-04-12 |
| 1497250336 | John Vu | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-03-23 |
| 1043714447 | Maitryben Mukundbhai Patel | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2018-03-20 |
| 1245747153 | Rojina Yogal | Nurse Practitioner | 1605 S 31st St, Temple, TX 76508-0001 | 2018-01-02 |
| 1659809630 | Bryce Carl Rhodehouse | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2017-06-02 |
| 1841646726 | Trace Heavener | Internal Medicine | 1605 S 31st St, Temple, TX 76508-0001 | 2016-05-10 |
| 1386008803 | Samantha Jaye Allen | Internal Medicine | 1605 S 31st St, Temple, TX 76508-2570 | 2016-04-11 |
| 1831599042 | Joshua Scott Marin | Physician Assistant | 1605 S 31st St, Temple, TX 76508-0001 | 2014-08-26 |
| 1851706790 | Nichola Jones | Nurse Practitioner | 1605 S 31st St, Temple, TX 76508-0001 | 2014-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1477073161 | Sheena Simon | Internal Medicine | Scott and White Memorial Hospital 2401 S St, Temple, TX 76508-0001 | 2017-06-22 |
| 1033646252 | Hannah Pederson | Internal Medicine | 2401 S 31st St # Ms 27104a, Temple, TX 76508-0001 | 2017-05-18 |
| 1669821070 | Brett Deatherage | Internal Medicine | Scott & White Healthcare - Internal Medicine, 2401 S. 31st St., Temple, TX 76508 | 2016-06-07 |
| 1770961484 | Amy Elizabeth Barnett | Internal Medicine | Department of Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-13 |
| 1265878045 | Rachael Lea Pattison | Internal Medicine | 7921 Honeysuckle, Temple, TX 76502-5554 | 2013-05-20 |
| 1376886853 | Zunair Nazim Afghani | Internal Medicine | 2401 S 31st St # 9c513c, Temple, TX 76508 | 2013-04-03 |
| 1710245162 | Constance Larea Cole | Internal Medicine | 463 Westfield Blvd, Apt. 836, Temple, TX 76502-5318 | 2012-04-23 |
| 1891089025 | Aruna Lakshmi Jahoor | Internal Medicine | Dept of Internal Medicine 1605 S 31st St, Temple, TX 76508-0001 | 2011-06-06 |
| 1689814386 | Mammen Ashish Sam | Internal Medicine | 2416 S 13th St Apt 626, Temple, TX 76504-7815 | 2009-02-20 |
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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.