DR. MICHAEL DURRELL DAVIS (NPI# 1881857688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881857688 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DURRELL DAVIS |
| Credential | PHD |
| Practice Address |
1151 Taylor Street Herman Kiefer Health Complex 150-c Detroit MI 48202-1732 |
| Mailing Address |
1151 Taylor Street Herman Kiefer Complex Room 150-c Detroit MI 48202-1732 |
| Practice Telephone | 3138764222 |
| Practice Fax Number | 3138764221 |
| Mailing Telephone | 3138764222 |
| Mailing Fax Number | 3138764221 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1962064691 | Michael Vernon Davis I | Driver | 502 W Park Plz, Mattoon, IL 61938-3639 | 2019-07-02 |
| 1518451988 | Michael Scott Davis | Dentist | 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 | 2018-06-19 |
| 1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1619423894 | Michael Davis | Specialist/Technologist | 129 Greenvale Dr, Lexington, SC 29072-7360 | 2016-08-29 |
| 1376901645 | Michael Davis Jr. | Massage Therapist | 3245 Harness Dr, Florissant, MO 63033-3715 | 2016-02-02 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1689928061 | Michael Arthur Davis | Surgery | 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 | 2012-11-06 |
| Street Address |
1151 TAYLOR STREET HERMAN KIEFER HEALTH COMPLEX 150-C |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730192410 | Melinda Anna Dixon | Internal Medicine | 1151 Taylor Street, Detroit Health Dept Herman Kiefer Health Complex, Detroit, MI 48202-1732 | 2006-08-14 |
| 1548496540 | Behavioral Health and Counseling Services Inc. | Community/Behavioral Health | 1151 Taylor Street, Rm 514a, Detroit, MI 48202-2074 | 2009-06-04 |
| 1982851259 | Annette M. Skalski | Registered Nurse | 1151 Taylor Street, Bldg 6, Room 106 Maternal Infant Health Program, Detroit, MI 48202-1732 | 2008-08-19 |
| 1124280177 | Aloysius Patrick Hanson | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970253 | Ashli Upchurch | Pathology | 5783 Devonshire Rd, Detroit, MI 48224-3236 | 2015-04-22 |
| 1124280177 | Aloysius Patrick Hanson | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001923 | Shelia Parker | Pathology | 304 Briarwood St Apt 217, Clare, MI 48617-1060 | 2016-09-13 |
| 1609909043 | Daniel H Farkas | Pathology | 301 Michigan St Ne Ste 580, Grand Rapids, MI 49503-3314 | 2007-03-14 |
| 1497175087 | Seetharamaiah Chittiprol | Pathology | One Hurley Plaza, Hurley Medical Center, Flint, MI 48503 | 2014-04-22 |
| 1619099389 | Benedict I Kuslikis | Pathology | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2007-04-04 |
| 1518090950 | Michael J Warzynski | Pathology | 1345 Monroe Ave Nw, Suite 121, Grand Rapids, MI 49505 | 2007-03-14 |
| 1295866721 | Daniel R Sundin | Pathology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2007-03-08 |
| 1326178104 | James V Higgins | Pathology | 1345 Monroe Ave Nw, Grand Rapids, MI 49505-4671 | 2007-03-07 |
Please comment or provide details below to improve the information on DR. MICHAEL DURRELL DAVIS.
| 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.