DAVID A DAVIS (NPI# 1821083155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821083155 |
| Entity Type | Individual |
| Full Name | DAVID A DAVIS |
| Credential | MD |
| Practice Address |
4300 W Main St Suite 102 Dothan AL 36305-1054 |
| Practice Telephone | 3347939564 |
| Practice Fax Number | 3346718907 |
| Mailing Telephone | 3347939564 |
| Mailing Fax Number | 3346718907 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
8395 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00233461A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609704 | David Wayne Davis | Nurse Practitioner | 211 Ranchera St. Nw, Live Oak, FL 32064-8463 | 2018-08-14 |
| 1396282372 | David Davis | Taxi | 454 Riverleigh Ave, Riverhead, NY 11901-3614 | 2017-01-27 |
| 1629434915 | David Benjamin Davis II | Optometrist | 4810 Nw Quartz Ct, Camas, WA 98607-9108 | 2016-01-03 |
| 1467857656 | David Davis | Chiropractor | 3000 Invincible Cir Ste B, League City, TX 77573-2956 | 2014-10-30 |
| 1104168244 | David W Davis | Dentist | 901 Leighton Ave Ste 401, Anniston, AL 36207-5703 | 2013-03-26 |
| 1487905568 | David Neal Davis | Radiology | 1049 Laura Circle, Sulphur, LA 70663-3704 | 2012-09-28 |
| 1992075634 | David Davis | Pharmacist | 1419 Us Route 60 E, Huntington, WV 25705-1654 | 2012-01-11 |
| 1750693974 | David Mayer Davis | Pharmacist | 6838 Loch Raven Blvd, 6838 Loch Raven Blvd, Baltimore, MD 21286-8301 | 2010-07-02 |
| 1942531595 | David Boyd Davis | Social Worker | 305 Londonderry Dr Ste 4, Waco, TX 76712-7906 | 2010-01-21 |
| 1154575793 | David Davis | Orthotist | Va Medical Center, 05-121, 3601 South Sixth Avenue, Tucson, AZ 85723-0001 | 2008-11-10 |
| Street Address |
4300 W MAIN ST SUITE 102 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1649635434 | Leigh Phillips | Registered Nurse | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2015-12-21 |
| 1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
| 1861870131 | Martin Plastic and Reconstructive Surgery, PC | Plastic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-05-07 |
| 1811387053 | Eric M Warg | Registered Nurse | 4300 W Main St, 24, Dothan, AL 36305-1054 | 2015-01-26 |
| 1720426133 | Krystal Sims Fowler | Nurse Practitioner | 4300 W Main St, Suite 31, Dothan, AL 36305-1090 | 2013-06-07 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1134426588 | Norma Faye Mcknight | Nurse Practitioner | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2011-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801163506 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 3, Dothan, AL 36305-4287 | 2011-11-23 |
| 1942397302 | Amir Ilyas | Psychiatry & Neurology | 1865 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4286 | 2006-10-06 |
| 1467408328 | William G Watson Jr. | Psychiatry & Neurology | 2581 Montgomery Hwy, Dothan, AL 36303 | 2006-05-25 |
| 1043262736 | Sher M Ghori | Psychiatry & Neurology | 1118 Ross Clark Cir Ste 301, Dothan, AL 36301-3002 | 2006-05-17 |
| 1225086366 | Michael John Labanowski | Psychiatry & Neurology | 2346 W Main St, Ste. 2, Dothan, AL 36301-1224 | 2006-05-04 |
| 1851366009 | Hassan Kesserwani | Psychiatry & Neurology | 348 Healthwest Dr, Dothan, AL 36303-1907 | 2006-02-21 |
| 1821466434 | S.b.j.s., PC | Psychiatry & Neurology | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2015-09-14 |
| 1679912570 | Yogesh Gujrati | Psychiatry & Neurology | 102 Doctors Dr, Dothan, AL 36301-2911 | 2013-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1043463557 | Dothan Neurodiagnostic Center PC | Psychiatry & Neurology | 1800 Fairview Ave, Suite 1, Dothan, AL 36301-3058 | 2008-10-28 |
| Find all providers in DOTHAN | ||||
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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.