JOHN E. DAVENPORT


Address: 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566
Phone: 7043028500

JOHN E. DAVENPORT (NPI# 1790709210) 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) 1790709210
Entity Type Individual
Full Name JOHN E. DAVENPORT
Credential M.D.
Practice Address 332 Sam Newell Rd
Suite 2000
Matthews
NC 28105-6566
Mailing Address Po Box 60063
Charlotte
NC 28260-0063
Practice Telephone 7043028500
Practice Fax Number 7043028501
Mailing Telephone 7043028500
Mailing Fax Number 7043028501
Enumeration Date 2006-07-27
Last Update Date 2008-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 24374 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8927174 05

Other Providers JOHN DAVENPORT

NPI Name Taxonomy Address Enumeration
1699987552 John Andrew Davenport Internal Medicine 1618 Michigan Ave, #6, Miami Beach, FL 33139-2539 2007-05-04
1982792248 John E Davenport Podiatrist 1490 Polaris St, Merritt Island, FL 32953-3127 2006-10-11
1356311260 John Alan Davenport Chiropractor 2710 S 3rd St, Jacksonville Beach, FL 32250 2006-01-24
1821462805 John Russell Davenport Counselor 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 2015-11-13
1891186276 John Davenport Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2015-02-06
1306917208 John Y. Davenport Family Medicine 441 N Lakeview Ave, Anaheim, CA 92807-3028 2006-11-13
1326156464 John Lincoln Davenport Counselor 3320 173rd Pl Ne, Arlington, WA 98223-8712 2006-08-28
1033125109 John D Davenport Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2006-07-31
1205810488 John G Davenport Psychiatry & Neurology 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426-4705 2005-12-01

Office Location

Street Address 332 SAM NEWELL RD
SUITE 2000
City MATTHEWS
State NC
Zip Code 28105-6566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124096953 Kevyn Miller Physician Assistant 332 Sam Newell Rd, Suite 1100, Matthews, NC 28105-6566 2006-03-09
1770859126 Charlotte Mecklenburg Hospital Authority Internal Medicine 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 2012-03-30
1346547809 Carolinas Medical Center Physical Medicine & Rehabilitation 332 Sam Newell Rd, Suite 1200, Matthews, NC 28105-6566 2011-02-18
1699085605 Carolinas Physicians Network Inc Family Medicine 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 2010-10-13
1710202163 Mecklenburg Medical Group Internal Medicine 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 2010-03-29
1194854778 Catherine Janell Tewolde Nurse Practitioner 332 Sam Newell Rd, Matthews, NC 28105-6566 2007-03-02
1568561330 Leigh Sullivan Clavin Pharmacist 332 Sam Newell Rd, Matthews, NC 28105 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917407 Lauren Deasy Blackshaw Counselor 1163 Sam Newell Rd, Matthews, NC 28105 2020-03-13
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1326515768 Holly Harvey Heddleson Nurse Practitioner 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 2018-10-24
1396241030 Erickson Health Medical Group of North Carolina, PC Internal Medicine 2030 Windsor Run Lane, Matthews, NC 28105 2018-04-02
1811406994 Lice Clinics of America of The Carolinas Technician, Other 3042 Suite C Senna Dr, Matthews, NC 28105 2017-09-21
1376065003 Carillon Assisted Living of Mint Hill, LLC Custodial Care Facility 5601 Margaret Wallace Road, Matthews, NC 28105 2017-07-14
1568906055 London Young Physical Therapy Assistant 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 2016-12-19
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1275993149 Kristi Dougan Nurse Practitioner 434 N Trade St Ste 104, Matthews, NC 28105 2016-03-04
1205219896 Kalyani Vellanki Starr Dentist 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 2015-07-01
Find all providers in zip 28105

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
1174141683 Telepartners for Integrated Health Internal Medicine 9413 Tillot Dr, Matthews, NC 28105-1567 2020-07-10
1528376712 Matthews Internal Medicine Pllc Internal Medicine 434 N. Trade St, Suite 104, Matthews, NC 28105 2010-09-22
1376726935 Novant Medical Group, Inc. Internal Medicine 3330 Siskey Parkway, Matthews, NC 28105 2007-12-06
1497890891 Geralyn Mary Campi Internal Medicine 2030 Windsor Run Ln, Matthews, NC 28105 2007-02-21
1730103235 Edward A. Bradford Internal Medicine 1450 Matthews Township Pkwy Ste 230, Matthews, NC 28105 2006-07-27
1356367957 Srinivas Cheruvu Internal Medicine 1340 Matthews Township Pkwy Ste 301, Matthews, NC 28105-4681 2006-07-15
1316911159 Chad Howard Internal Medicine 3300 Williams Rd, Matthews, NC 28105 2006-02-16
1235109190 Kim Marie Foust Internal Medicine 1401 Matthews Township Pkwy Ste 200, Matthews, NC 28105-5403 2006-01-24
1215928999 Randell A Hyler Internal Medicine 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 2005-11-02
1215931894 Eliza N Sangmuah Internal Medicine 101 E Matthews Street, Suite 200, Matthews, NC 28105-5373 2005-06-10
Find all providers in MATTHEWS

Competitor

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City MATTHEWS
Zip Code 28105

Improve Information

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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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