DR. NOEL COWART DAVIS JR. (NPI# 1831212992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831212992 |
| Entity Type | Individual |
| Full Name | DR. NOEL COWART DAVIS JR. |
| Credential | D.C. |
| Practice Address |
232 Main St Nw Bourbonnais IL 60914-1866 |
| Mailing Address |
232 Main St Nw Suite 201 Bourbonnais IL 60914-1938 |
| Practice Telephone | 8159394900 |
| Mailing Telephone | 8159394900 |
| Mailing Fax Number | 8159394951 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | A05844 | IA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 038-006330 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEIN | 36-3862007 | 01 | |
| IL | BCBS | 0002782002 | 01 |
| IA | MIDLANDS | 253414 | 01 |
| IL | FED ID | 37-1243600 | 01 |
| IA | PHCS | 9484203 | 01 |
| IA | 0767558 | 05 | |
| IA | BCBS WELLMARK | 53643 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990147 | Noel Davis | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-10-19 |
| 1356990600 | Noel Davis | Technician | 3621 Newark St Nw Apt 207, Washington, DC 20016-3105 | 2019-09-10 |
| 1720470594 | Noel Davis | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2015-03-03 |
| Street Address |
232 MAIN ST NW |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215047824 | Thomas D Koehler | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2006-08-30 |
| 1033510532 | Craig T Karvala | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2014-09-16 |
| 1427365469 | Scott L. Nims | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2010-09-13 |
| 1861549818 | Andrew K Basham | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2007-01-04 |
| 1659450815 | Koehler Sports & Spinal Rehab Ltd | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477789238 | Jennafer Anne Jarosz | Chiropractor | 588 William Latham Dr, Suite 5, Bourbonnais, IL 60914-2326 | 2009-06-08 |
| 1992883839 | Lori Renee' Foster | Chiropractor | 588 William R Latham Sr Dr, Suit 5, Bourbonnais, IL 60914-2326 | 2006-11-01 |
| 1770669517 | James R Tripp | Chiropractor | 201 Park Pl Ste 10, Bourbonnais, IL 60914 | 2006-10-27 |
| 1194809632 | Hoffman Chiropractic Clinic PC | Chiropractor | 662 N Convent St, Bourbonnais, IL 60914 | 2006-10-24 |
| 1578664561 | John Raymond Dekker | Chiropractor | 586 Latham Dr, Suite 7, Bourbonnais, IL 60914 | 2006-09-25 |
| 1215047824 | Thomas D Koehler | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2006-08-30 |
| 1083643647 | John Paul Grumish | Chiropractor | 40 Briarcliff Professional Center, Bourbonnais, IL 60914-1775 | 2006-07-03 |
| 1235166224 | Michael Sean Schroer | Chiropractor | 40 Briarcliff Ln, Professional Center, Bourbonnais, IL 60914-1665 | 2006-06-27 |
| 1619963717 | David W Van Dehey | Chiropractor | 1230 Armour Rd, Bourbonnais, IL 60914-2106 | 2005-09-23 |
| 1033510532 | Craig T Karvala | Chiropractor | 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 | 2014-09-16 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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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.