MATTHEW DAVIS


Address: 615 S New Ballas Rd, Saint Louis, MO 63141-8221
Phone: 3142516930

MATTHEW DAVIS (NPI# 1780200253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780200253
Entity Type Individual
Full Name MATTHEW DAVIS
Credential MD
Practice Address 615 S New Ballas Rd
Saint Louis
MO 63141-8221
Mailing Address 17206 Hillcrest Ridge Dr
Chesterfield
MO 63005-1328
Practice Telephone 3142516930
Mailing Telephone 8134868923
Enumeration Date 2020-06-22
Last Update Date 2020-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2020015723 MO Allopathic & Osteopathic Physicians

Other Providers MATTHEW DAVIS

NPI Name Taxonomy Address Enumeration
1467088054 Matthew John Davis Dentist 502 Us Highway 70 W, Havelock, NC 28532-9510 2020-03-16
1881177517 Matthew Davis Contractor 2612 Goodes Bridge Rd Ste A, North Chesterfield, VA 23224-2567 2018-09-10
1477908838 Matthew Davis Contractor 6124 E 22nd Ave, Anchorage, AK 99504-3214 2016-05-04
1760890438 Matthew Davis Registered Nurse 2464 Mczand Blvd, Grove City, OH 43123-1461 2014-07-25
1508289000 Matthew Lay Davis Durable Medical Equipment & Medical Supplies 73 Glenway Pl, Brandon, MS 39042-2530 2014-02-04
1639475346 Matthew William Davis Urology 576 Fifth Ave, Suite 903, New York, NY 10036 2011-01-28
1003146317 Matthew Lee Davis Nurse Anesthetist, Certified Registered 5701 Stratford Lane, Lakeland, FL 33813 2010-01-08
1467788356 Matthew James Davis Massage Therapist 549 W Katelyn Ln, Spokane, WA 99224-8452 2009-10-27
1982938999 Matthew Davis Counselor 3358 S 2nd St Ste D, Cabot, AR 72023-7876 2009-09-23
1447403811 Matthew John Davis Dentist 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 2008-10-29

Office Location

Street Address 615 S NEW BALLAS RD
City SAINT LOUIS
State MO
Zip Code 63141-8221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780689182 Robert W Allen Anesthesiology 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2005-06-14
1033722061 Ashley Maull Nurse Practitioner 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-08-28
1508476367 Ryan Nathan Student in an Organized Health Care Education/Training Program 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-08-06
1992315857 Corey Weicht Nurse Practitioner 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-08-05
1063021905 Alexandria Colleen Grodie Nurse Practitioner 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-07-27
1396353892 Fahad Bin Tahir Internal Medicine 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-07-21
1588281307 Alexander Cai Dentist 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-26
1083231070 Lauren Gonzalez Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-25
1902422421 Megan Reidy Landis Family Medicine 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-20
1821614439 Collin James Hill Internal Medicine 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780223933 Glenn C. Jacobsen Internal Medicine 7 Carrswold Dr, Saint Louis, MO 63105-2914 2020-01-04
1396305868 Kevin Colin O'fee Internal Medicine 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 2019-06-17
1144740200 Michael Slade Internal Medicine 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 2017-06-20
1386171312 Niaz Memon Internal Medicine 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 2017-05-22
1043746027 Paul David Olivo Internal Medicine 639 W Polo Dr, Saint Louis, MO 63105-2635 2017-05-11
1649706243 Jared Frisby Internal Medicine 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 2017-05-03
1518417708 Md At Home LLC Internal Medicine 6 Portland Pl, Saint Louis, MO 63108-1204 2016-10-11
1285087429 Kathryn Parker Internal Medicine 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 2016-07-22
1831540863 John Kirby Krause Jr. Internal Medicine 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 2016-06-30
1104277458 Vedica Sharma Internal Medicine 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 2016-06-28
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Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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