GARY WADE DAVIS (NPI# 1952495038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952495038 |
| Entity Type | Individual |
| Full Name | GARY WADE DAVIS |
| Credential | MD |
| Practice Address |
3828 Bardstown Rd Louisville KY 40218-1527 |
| Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
| Practice Telephone | 5024594900 |
| Practice Fax Number | 5024540591 |
| Mailing Telephone | 5022531035 |
| Mailing Fax Number | 5022531037 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21458 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64214588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831255736 | Gary B Davis | Chiropractor | 716 E. 4500 South, Ste. N250, Salt Lake City, UT 84107 | 2006-12-28 |
| 1932276102 | Gary Phillip Davis | Physical Therapy Assistant | Greenwood Sports and Industrial Rehab, 1602 Spring Street, Greenwood, SC 29646 | 2006-11-30 |
| 1720151277 | Gary S Davis | Dentist | 420 E Orange St, Shippensburg, PA 17257 | 2006-11-15 |
| 1831105931 | Gary Kenneth Davis | Counselor | 1611 South Main, Ste17, Ho[pkinsville, KY 42240 | 2006-07-31 |
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1982695409 | Gary D Davis | Dentist | 1309 Briarville Rd, Suite 101, Madison, TN 37115-5157 | 2005-11-03 |
| 1790309003 | Gary Ralph Davis | Social Worker | 275 Pine Valley Rd, Berea, KY 40403-9544 | 2020-06-02 |
| 1275004392 | Gary Davis | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661-9660 | 2018-12-16 |
| 1477969418 | Gary Davis | Counselor | 1200 W Walnut St Ste 3100, Rogers, AR 72756-3524 | 2014-07-10 |
| 1396171088 | Gary Davis | Psychologist | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2013-09-25 |
| Street Address |
3828 BARDSTOWN RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477000834 | Kelly Stilz George | Nurse Practitioner | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2016-09-02 |
| 1073867438 | Maria T Mccauley | Nurse Practitioner | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2012-11-06 |
| 1073783866 | Sasser,davis & Iglehart | Family Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2008-03-07 |
| 1891889929 | Robert Lewis Sasser | Internal Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2006-10-03 |
| 1538253612 | Bryan Thomas Iglehart Jr. | Internal Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2006-10-03 |
| 1588758627 | Gerald Lewis Sasser | Family Medicine | 3828 Bardstown Rd, Louisville, KY 40218-1527 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1770939043 | Rss Inc Dba Mediweightloss | Family Medicine | 166 N Hurstbourne Pkwy, Louisville, KY 40222-5108 | 2016-05-05 |
| 1104280379 | Jonathan Paul Newsom | Family Medicine | 2401 Terra Crossing Blvd Ste 101, Louisville, KY 40245-5371 | 2016-04-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.