JIM GLENN DAVIS (NPI# 1780808196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780808196 |
| Entity Type | Individual |
| Full Name | JIM GLENN DAVIS |
| Practice Address |
502 Greening St Suite 3c Camden AR 71701-3491 |
| Mailing Address |
502 Greening Street Suite 3c Camden AR 71701 |
| Practice Telephone | 8708374065 |
| Mailing Telephone | 8708374065 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C00332 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982628293 | Jim Davis | Family Medicine | 3839 Bee Cave Rd, Suite 202, West Lake Hills, TX 78746-6401 | 2006-07-27 |
| 1780675975 | Jim D Davis | Emergency Medicine | 2400 Palmer Cir, Norman, OK 73069-6301 | 2005-11-04 |
| 1811984438 | Jim L. Davis | Optometrist | 3213 E Central Texas Expy, Suite 100b, Killeen, TX 76543-7322 | 2005-09-29 |
| 1285751271 | Jim S. Davis | Nurse Anesthetist, Certified Registered | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2007-03-23 |
| Street Address |
502 GREENING ST SUITE 3C |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912153792 | Michael Rachshtut | Specialist | Md Anderson Cancer Center, 2 Cooper Plaza, Camden, NJ 08103 | 2008-08-13 |
| 1235309915 | John D Holtsclaw | Specialist | 424 Market Street, Camden, NJ 08102 | 2008-03-10 |
| 1396924130 | Cynthia J Henderson | Specialist | 1001-b Fairlawn Dr, Camden, SC 29020 | 2007-10-29 |
| 1649299934 | Nellie Novak | Specialist | 817 Federal Street, Suite 300, Camden, NJ 08103 | 2006-07-18 |
| 1750325312 | Lillian S Hwee | Specialist | 2610 Federal Street, Camden, NJ 08105-1936 | 2006-06-15 |
| 1013967421 | James B Tucker | Specialist | 239 Old North Rd, Camden, DE 19934-1241 | 2006-05-10 |
| 1750355590 | Linda C Mcleod | Specialist | 1009 Fairlawn Dr, Camden, SC 29020-4525 | 2006-02-16 |
| 1891768404 | Tudor G Jovin | Specialist | 3 Cooper Plz Rm 104, Camden, NJ 08103-1407 | 2006-02-13 |
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1790781177 | Joseph P Jackson Jr. | Specialist | 507 Walnut St, Camden, SC 29020-3649 | 2005-06-22 |
| Find all providers in CAMDEN | ||||
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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.