DR. ALLISON K DAVIS (NPI# 1871617993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871617993 |
| Entity Type | Individual |
| Full Name | DR. ALLISON K DAVIS |
| Credential | M.D. |
| Practice Address |
1011 Bowles Avenue Suite 425 Fenton MO 63026 |
| Practice Telephone | 6364965080 |
| Practice Fax Number | 6364965095 |
| Mailing Telephone | 6364965080 |
| Mailing Fax Number | 6364965095 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2017020376 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 27401 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LL1436 | NV | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DEA CERTIFICATE | ASO2532198855 | 01 |
| NV | MEDICAL LICENSE | LL1436 | 01 |
| OK | MEDICAL LICENSE | 27401 | 01 |
| MO | 200045083 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379897 | Allison Nicole Davis | Developmental Therapist | 104 Hope St, Hoxie, AR 72433-9014 | 2020-02-24 |
| 1316424161 | Allison Rose Davis | Speech-Language Pathologist | 947 16th St Apt 3, Santa Monica, CA 90403-3213 | 2018-07-24 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1477925964 | Allison Claire Davis | Counselor | 705 W Hopkins St Ste 109, San Marcos, TX 78666-4380 | 2015-10-23 |
| 1518348192 | Allison Elaine Davis | Occupational Therapist | 43 Kingston Rd, Natchez, MS 39120-9722 | 2015-06-09 |
| 1881019370 | Allison Davis | Nurse Practitioner | 400 E Fifth Avenue, Spokane, WA 99202 | 2014-02-20 |
| 1174896054 | Allison Anne Davis | Nurse Practitioner | 211 Indian Lake Blvd Ste A, Hendersonville, TN 37075 | 2012-02-22 |
| 1508088014 | Allison Michelle Davis | Specialist/Technologist | 704 Longmire Dr., Suite 101, Conroe, TX 77304 | 2007-05-03 |
| 1467074526 | Allison A Davis | Speech-Language Pathologist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2020-05-12 |
| 1801428321 | Allison Nicole Davis | Occupational Therapist | 85 Vincent Dr # C, Mt Pleasant, SC 29464-4066 | 2020-02-12 |
| Street Address |
1011 BOWLES AVENUE SUITE 425 |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104872068 | Timothy James Pratt | Internal Medicine | 1011 Bowles Avenue, Suite 121, Fenton, MO 63026 | 2006-05-25 |
| 1073903134 | Anastasia A Averbukh | Nurse Practitioner | 1011 Bowles Avenue, Suite 121, Fenton, MO 63026-2387 | 2015-01-28 |
| 1760810543 | St Louis Dermatology LLC | Dermatology | 1011 Bowles Avenue, Suite 121, Fenton, MO 63026-2387 | 2013-10-14 |
| 1831335819 | Ankle and Foot Institute of Missouri P.C. | Podiatrist | 1011 Bowles Avenue, Suite 123, Fenton, MO 63026 | 2008-12-23 |
| 1215943105 | Richard Felix Wittock IIi | Podiatrist | 1011 Bowles Avenue, Suite 123, Fenton, MO 63026 | 2006-07-31 |
| 1124046354 | Edward Reh | Internal Medicine | 1011 Bowles Avenue, Suite 300, Fenton, MO 63026-2387 | 2006-07-17 |
| 1295768323 | Douglas Dripps | Internal Medicine | 1011 Bowles Avenue, Suite 300, Fenton, MO 63026-2387 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940412 | Enrique Pastrana | Surgery | 1011 Bowles Ave., Suite 300, Fenton, MO 63026-2387 | 2005-08-24 |
| 1457791808 | Patricia Heller | Surgery | 1011 Bowles Ave Ste 425, Fenton, MO 63026-2384 | 2013-06-30 |
| 1326485897 | Aaron Bornstein | Surgery | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2013-05-23 |
| 1891025615 | Faris Al-gebory Md LLC | Surgery | 1011 Bowles Ave, Suite 415, Fenton, MO 63026-2395 | 2009-12-29 |
| 1841419827 | Enrique Pastrana, M.d., P.c | Surgery | 1011 Bowles Ave., Suite 300, Fenton, MO 63026-2387 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
| Find all providers with the same taxonomy | ||||
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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.