DR. ROBERT DANIEL DAVIS (NPI# 1801975537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801975537 |
Entity Type | Individual |
Full Name | DR. ROBERT DANIEL DAVIS |
Credential | D.P.M. |
Practice Address |
2409 Main St Bridgeport CT 06606-5324 |
Practice Telephone | 2033346955 |
Practice Fax Number | 2033342851 |
Mailing Telephone | 2033346955 |
Mailing Fax Number | 2033342851 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2008-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | POO312 | CT | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CIGNA | 1276009002 | 01 | |
OXFORD | Z5651 | 01 | |
ANTHEM BLUE SHIELD | 030000312CT02 | 01 | |
HEALTH NET | 001932 | 01 | |
AETNA | 533669 | 01 | |
CT | 004070439 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
1487200366 | Robert Davis II | Case Manager/Care Coordinator | 9721 Southern Oaks Dr, Midwest City, OK 73130-5410 | 2019-08-15 |
1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
1497319198 | Robert Ralph Davis | Licensed Practical Nurse | 1222 Albany Post Rd, Gardiner, NY 12525-5504 | 2019-04-28 |
1972012714 | Robert L Davis | Internal Medicine | 107 Forsythia Dr N, Levittown, PA 19056 | 2017-09-25 |
1225569478 | Robert Davis II | Physical Therapy Assistant | 19 S Woodlawn Ave, Apt 1, Aldan, PA 19018-3916 | 2017-03-21 |
1114393105 | Robert Davis | Licensed Vocational Nurse | 821 1/2 W Balboa Blvd, Newport Beach, CA 92661-1107 | 2015-08-13 |
1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
1275957847 | Robert Davis Sr. | Student in an Organized Health Care Education/Training Program | 102 S. 11th Street, San Jose, CA 95112 | 2014-02-18 |
Street Address |
2409 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-5324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396856548 | Mark Alan Schickler | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2006-08-31 |
1205489077 | St Vincents Multispecialty Group Inc | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2019-07-22 |
1245774942 | Family Foot & Ankle Specialists LLC | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2016-12-14 |
1205285582 | Christopher Lovell | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2016-06-08 |
1356731244 | Denisa Riera | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2015-01-29 |
1457526980 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2008-04-25 |
1861682122 | Sahani C Howie | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2007-08-01 |
1619190055 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730367558 | Eric A. Levine, Dpm | Podiatrist | 325 Jewett Ave, Bridgeport, CT 06606-2827 | 2008-02-04 |
1750507141 | Howard Wayne Harinstein | Podiatrist | 4695 Main Street, Bridgeport, CT 06606-1802 | 2007-04-17 |
1396856548 | Mark Alan Schickler | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2006-08-31 |
1053326488 | Tina Marie Chieco-schwartz | Podiatrist | 2320 Main St, Bridgeport, CT 06606-5373 | 2006-07-31 |
1265828818 | Theresa Integral Dy Djama | Podiatrist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2015-04-10 |
1427304146 | Bevan Kurthy Hollingsworth | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2012-07-31 |
1649566092 | Kristen Mcginness | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2011-06-23 |
1750680153 | Naomie Legagneur | Podiatrist | 46 Albion St, Bridgeport, CT 06605-2602 | 2011-03-24 |
1457526980 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2008-04-25 |
1043498009 | Howard W Harinstein | Podiatrist | 4695 Main St, Suite 15, Bridgeport, CT 06606-1802 | 2008-02-01 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.