COLLEEN DAVIS (NPI# 1922109206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922109206 |
| Entity Type | Individual |
| Full Name | COLLEEN DAVIS |
| Credential | P.A. |
| Practice Address |
1306 N Broom St Wilmington DE 19806-4209 |
| Practice Telephone | 3025719750 |
| Practice Fax Number | 3025710620 |
| Mailing Telephone | 3025719750 |
| Mailing Fax Number | 3025710620 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C03083 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C50000438 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MD STATE LICENSE | C03083 | 01 |
| DE | DE LICENSE | C50000438 | 01 |
| DE | RAILROAD MEDICARE | 016022N04 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149353 | Colleen Davis | Physical Therapist | 132 Cross Rd, Waterford, CT 06385-1204 | 2019-05-19 |
| 1114252186 | Colleen Marie Davis | Registered Nurse | 921 Sandia Cir, Edmond, OK 73012-4249 | 2009-10-08 |
| 1578896767 | Colleen Davis | Speech-Language Pathologist | 3123 Delrose St, Milford, MI 48380 | 2009-09-07 |
| 1811484900 | Colleen Kelly Davis | Student in an Organized Health Care Education/Training Program | 1721 Patterson St, Nashville, TN 37203-2925 | 2018-04-16 |
| 1477007870 | Colleen Davis | Physical Therapist | 280 Boston Tpke, Shrewsbury, MA 01545-2640 | 2016-08-15 |
| 1255737540 | Colleen Davis | Behavioral Analyst | 474 Blossom Hill Rd, San Jose, CA 95123-3301 | 2014-11-13 |
| 1083877484 | Colleen M Davis | Licensed Practical Nurse | 526 Old Liverpool Rd, Liverpool, NY 13088-6238 | 2008-07-07 |
| 1801054796 | Colleen Arsina Davis | Physical Therapist | 180 Regan Rd, Vernon, CT 06066-2824 | 2008-05-28 |
| 1245431345 | Colleen Elizabeth Davis Sr. | Counselor | 324 University Ave, Syracuse, NY 13210-1811 | 2007-05-29 |
| 1922142140 | Colleen Marie Davis | Speech-Language Pathologist | 12430 Tesson Ferry Rd, Suite 352, Saint Louis, MO 63128-2702 | 2007-02-19 |
| Street Address |
1306 N BROOM ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447358338 | Neurosurgery Associates, P.a. | Neurological Surgery | 1306 N Broom St, Wilmington, DE 19806-4209 | 2006-09-21 |
| 1649537598 | Alan J. Fink, M.d., Neurologist, P.a. | Psychiatry & Neurology | 1306 N Broom St, Wilmington, DE 19806-4209 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757936 | Megan Lenore Mcnamara | Physician Assistant | 2504 Delaney Ave, Wilmington, NC 28403-6002 | 2014-03-05 |
| 1659597870 | Todd Francis Cox Cecchini | Physician Assistant | 7th & Clayton, Wilmington, DE 19805 | 2007-04-17 |
| 1124162581 | Robert Sean Hensler | Physician Assistant | 2800 Ashton Dr Ste 100, Wilmington, NC 28412-2486 | 2007-02-19 |
| 1154386340 | Yvonne Desmet | Physician Assistant | 1025 Medical Center Dr., Suite 201, Wilmington, NC 28401-7354 | 2006-04-19 |
| 1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
| 1033171962 | Michele Deeley Stavovy | Physician Assistant | 1202 Medical Center Drive, Wilmington, NC 28401-7307 | 2006-04-05 |
| 1164428041 | Ryan Murphy | Physician Assistant | 5220 Oleander Dr, Second Floor, Wilmington, NC 28403-7021 | 2005-06-24 |
| 1255967824 | Robert Nelson | Physician Assistant | 5220 Oleander Dr, Wilmington, NC 28403-7021 | 2020-03-16 |
| 1023590502 | Chase Jonathan Whelan | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401 | 2018-08-31 |
| 1477060614 | Joshua William Ward | Physician Assistant | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2018-01-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on COLLEEN 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.