DALTON ALAN DAVIS (NPI# 1023504230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023504230 |
| Entity Type | Individual |
| Full Name | DALTON ALAN DAVIS |
| Practice Address |
3800 Victory Pkwy Unit 1 Cincinnati OH 45207-1092 |
| Mailing Address |
2215 Victory Pkwy Apt D5 Cincinnati OH 45206-2831 |
| Practice Telephone | 5137453000 |
| Mailing Telephone | 6149059057 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3800 VICTORY PKWY UNIT 1 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45207-1092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112553 | Jondra Dianne Long | Registered Nurse | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2020-10-26 |
| 1881246742 | Dylan James Paracka | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2019-07-11 |
| 1740832518 | Demi Marie May | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2019-07-11 |
| 1669968871 | Kassidy Mikula | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2018-07-11 |
| 1295221406 | Benjamin Joseph Wimmer | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2018-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913632 | Mollie Borcherding | Specialist/Technologist | 3600 Victory Pkwy, Cincinnati, OH 45207 | 2019-07-10 |
| 1285188284 | Alyssa Tatum | Speech-Language Pathologist | 1826 Fairfax Ave Apt 1, Cincinnati, OH 45207 | 2016-08-08 |
| 1891140893 | Trihealth Rehabilitation Hospital, LLC | Hospitalist | 2155 Dana Ave, Cincinnati, OH 45207 | 2016-04-27 |
| 1174990048 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 2155 Dana Avenue, Cincinnati, OH 45207 | 2015-08-27 |
| 1073631990 | Nora Lee Edwards | Technician | 3426 Woodburn Ave, #2, Cincinnati, OH 45207 | 2007-03-27 |
| 1801821665 | Michael M Mcclellan | Internal Medicine | 2135 Dana Avenue, Suite 210, Cincinnati, OH 45207 | 2006-07-11 |
| 1932134780 | Nancy K Kaminski | Internal Medicine | 2135 Dana Ave Suite 210, Cincinnati, OH 45207 | 2006-07-11 |
| 1508221847 | Trihealth Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2155 Dana Avenue, Cincinnati, OH 45207 | 2015-12-30 |
| 1073701843 | Elizabeth B Maeder | Family Medicine | 2135 Dana Ave Suite 210, Cincinnati, OH 45207 | 2007-10-05 |
| 1841411451 | Rachel Ann Hildebrand | Specialist | 3800 Victory Parkway, Athletic Department, Cincinnati, OH 45207 | 2007-05-01 |
| Find all providers in zip 45207 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1407463441 | Amanda Catherine Winner | Student in an Organized Health Care Education/Training Program | 3874 Ivanhoe Ave, Cincinnati, OH 45212-3513 | 2020-09-24 |
| 1649884198 | Lydia Wolferst | Student in an Organized Health Care Education/Training Program | 7892 Pinemeadow Ln, Cincinnati, OH 45224-1226 | 2020-09-02 |
| 1821608761 | Rachel Elizabeth Makoski | Student in an Organized Health Care Education/Training Program | 4856 Forest Meadows Ct, Cincinnati, OH 45244-1275 | 2020-08-05 |
| 1992326961 | Stephanie Rosanna Beasley | Student in an Organized Health Care Education/Training Program | 60 Gambier Cir, Cincinnati, OH 45218-1427 | 2020-04-30 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1457980096 | Brian Loring | Student in an Organized Health Care Education/Training Program | 3744 Herbert Ave, Cincinnati, OH 45211-5437 | 2020-04-06 |
| 1831728476 | Allison Rose Hamad | Student in an Organized Health Care Education/Training Program | 231 Sabin Way Ml 0558 Ucmc Department of Surgery, Cincinnati, OH 45267-0001 | 2020-04-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45207 |
Please comment or provide details below to improve the information on DALTON ALAN 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.