DR. JOHN E DAVENPORT (NPI# 1982792248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982792248 |
| Entity Type | Individual |
| Full Name | DR. JOHN E DAVENPORT |
| Credential | DPM |
| Practice Address |
1490 Polaris St Merritt Island FL 32953-3127 |
| Mailing Address |
Po Box 934068 Margate FL 33093-4068 |
| Practice Telephone | 3214330776 |
| Practice Fax Number | 3214546919 |
| Mailing Telephone | 9543662700 |
| Mailing Fax Number | 9543662056 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P02397 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987552 | John Andrew Davenport | Internal Medicine | 1618 Michigan Ave, #6, Miami Beach, FL 33139-2539 | 2007-05-04 |
| 1356311260 | John Alan Davenport | Chiropractor | 2710 S 3rd St, Jacksonville Beach, FL 32250 | 2006-01-24 |
| 1821462805 | John Russell Davenport | Counselor | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2015-11-13 |
| 1891186276 | John Davenport | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2015-02-06 |
| 1306917208 | John Y. Davenport | Family Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1326156464 | John Lincoln Davenport | Counselor | 3320 173rd Pl Ne, Arlington, WA 98223-8712 | 2006-08-28 |
| 1033125109 | John D Davenport | Internal Medicine | 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 | 2006-07-31 |
| 1790709210 | John E. Davenport | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2006-07-27 |
| 1205810488 | John G Davenport | Psychiatry & Neurology | 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426-4705 | 2005-12-01 |
| Street Address |
1490 POLARIS ST |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972078699 | Geriatric Physicians, Inc | Podiatrist | 1490 Polaris St, Merritt Island, FL 32953-3127 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649356957 | Marie-claire D Villanueva | Podiatrist | 227 Sykes Loop Dr, Merritt Island, FL 32953-3074 | 2006-10-29 |
| 1992735229 | Kevin M Lynch | Podiatrist | 260 Fortenberry Rd, Merritt Island, FL 32952-3619 | 2006-07-03 |
| 1972078699 | Geriatric Physicians, Inc | Podiatrist | 1490 Polaris St, Merritt Island, FL 32953-3127 | 2018-10-09 |
| 1659770295 | Marie-claire Villanueva | Podiatrist | 125 E Merritt Island Cswy, 107-310, Merritt Island, FL 32952-3699 | 2014-08-20 |
| 1558706911 | Marie Claire Villanueva, Dpm, Pa | Podiatrist | 125 E Merritt Island Cswy, Suite 209-310, Merritt Island, FL 32952-3699 | 2013-04-30 |
| 1902978497 | Kevin M Lynch Dpm Pa | Podiatrist | 260 Fortenberry Rd, Merritt Island, FL 32952-3619 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on DR. JOHN E DAVENPORT.
| 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.