MR. RUSSELL ERIC DAVIS (NPI# 1962562793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962562793 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL ERIC DAVIS |
| Other Name | MR. R. ERIC DAVIS |
| Credential | P.T. |
| Practice Address |
Physical Therapy Madigan Army Medical Ctr Building 9040, Fitzsimmons Drive Tacoma WA 98431-0001 |
| Mailing Address |
2005 Eskridge Blvd Se Olympia WA 98501-3704 |
| Practice Telephone | 2539680780 |
| Mailing Telephone | 2533817602 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT003021 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154745206 | Russell Davis | Pharmacist | Km 130.1 Cuatro C, Paseo Del Faro Pr, Arroyo, PR 00714 | 2014-02-10 |
| 1336344316 | Russell Allen Davis | Acupuncturist | 6135 Acorn St, San Diego, CA 92115-4006 | 2007-06-19 |
| 1285766410 | Russell Leroy Davis | Dentist | 950 I St, Arcata, CA 95521-6158 | 2007-03-12 |
| 1376644799 | Russell C Davis | Podiatrist | 2 Bon Air Rd Ste 150, Larkspur, CA 94939-1142 | 2006-09-26 |
| 1801908496 | Russell Minor Davis | Dentist | 2204 Sunrise Blvd, Fort Pierce, FL 34950-5367 | 2006-08-31 |
| 1982607966 | Russell Kelso Davis | Chiropractor | 318 E. Main St., Havelock, NC 28532-2214 | 2005-05-24 |
| 1558976217 | Russell Davis | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2020-09-10 |
| 1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1821593203 | Russell Davis | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr, Mobile, AL 36617-2300 | 2018-03-27 |
| 1982148581 | Russell Davis | Nurse Practitioner | 1887 Aaron Dr Ste B, Tooele, UT 84074-8138 | 2016-12-15 |
| Street Address |
PHYSICAL THERAPY MADIGAN ARMY MEDICAL CTR BUILDING 9040, FITZSIMMONS DRIVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| Find all providers in TACOMA | ||||
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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.