WILLIAM J DAVENPORT (NPI# 1851323778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851323778 |
| Entity Type | Individual |
| Full Name | WILLIAM J DAVENPORT |
| Credential | PA |
| Practice Address |
1500 E Sherman Blvd Muskegon MI 49444-1849 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2316723883 |
| Practice Fax Number | 2316723973 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317274451 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005653 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001951 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 0N27530065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255800082 | William Hayes Davenport | Counselor | 269 Pearl St Ste 4, Burlington, VT 05401-8536 | 2018-11-22 |
| 1093798696 | William L Davenport | Dentist | 2240 Coliseum Dr, Hampton, VA 23666-5903 | 2005-11-29 |
| 1952391401 | William Wayne Davenport | Specialist | 582 Island Walk E, Mt Pleasant, SC 29464-7834 | 2005-10-26 |
| 1639576408 | William Davenport IIi | Specialist/Technologist, Other | 2605 Gault Ave N, Fort Payne, AL 35967-3751 | 2014-11-22 |
| 1639369424 | William Brett Davenport | Obstetrics & Gynecology | 532 Madison St Se, Huntsville, AL 35801-4205 | 2007-07-27 |
| 1588722292 | William Daniel Davenport | Family Medicine | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Ft. Hood, TX 76544-1800 | 2006-12-05 |
| 1669425773 | William H Davenport | Specialist | 2090 Se Ocean Blvd, Stuart, FL 34996-3304 | 2006-05-18 |
| 1770545055 | William Clark Davenport | Orthopaedic Surgery | 345 W Michigan St, Suite 114, Orlando, FL 32806-4465 | 2006-04-04 |
| 1790751691 | William G Davenport | Emergency Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-02-28 |
| 1265426605 | William Davenport | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2005-08-31 |
| Street Address |
1500 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282904 | James J Bleicher | Internal Medicine | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2005-06-01 |
| 1154934842 | Nicklas Lee Raycraft | Nurse Practitioner | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-08-24 |
| 1447860499 | Michael Edward Curran | Pharmacist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-08-05 |
| 1669098810 | Keith Abraham | Registered Nurse | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-24 |
| 1689299018 | Baldwin Family Health Care | Dentist | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-11 |
| 1740804616 | Tanner Thomas Hecht | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-05 |
| 1770112930 | Luis M Rodriguez-galliano | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1487283628 | Kristen D Bruce | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1003445263 | Kyle Nathaniel Turcic | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702890 | Daniel F Spitters | Physician Assistant | 2400 S Sheridan, Muskegon, MI 49442 | 2007-01-08 |
| 1629002241 | Katherine A Beck | Physician Assistant | 1675 Leahy Street, Suite 401, Muskegon, MI 49442 | 2006-07-10 |
| 1972504959 | Robert Leslie Eichelberger | Physician Assistant | 1700 Oak Ave, Suite 400, Muskegon, MI 49442-2407 | 2005-08-02 |
| 1740804616 | Tanner Thomas Hecht | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-05 |
| 1194354787 | Ashley Caroline Parzych | Physician Assistant | 1560 E Sherman Blvd Ste 240, Muskegon, MI 49444-1854 | 2020-04-06 |
| 1811536428 | Anthony James Madison | Physician Assistant | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2019-12-30 |
| 1871067819 | Kelsi Drudy | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442-5502 | 2019-01-13 |
| 1437630522 | Emma Sue Ottman | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442 | 2018-08-27 |
| 1750897245 | Aleah Charity Wysozan | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2017-12-19 |
| 1356867733 | Diane Elizabeth Kibiloski | Physician Assistant | 1400 Mercy Dr Ste 100, Muskegon, MI 49444-1836 | 2017-08-17 |
| Find all providers in MUSKEGON | ||||
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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.