CONNIE L. DAVIS (NPI# 1043395841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395841 |
| Entity Type | Individual |
| Full Name | CONNIE L. DAVIS |
| Other Name | CONNIE L. DYBERG |
| Practice Address |
208 Hospital Parkway Mount Vernon WA 98274 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604288260 |
| Practice Fax Number | 3604288576 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00025078 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 9149 | 01 | |
| WA | 8303687 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494315 | Connie Davis | Family Medicine | 8135 Kenton St, Houston, TX 77028-4631 | 2020-10-16 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1457745515 | Connie Davis | Counselor | 9917 Ramshorn St, Thonotosassa, FL 33592-2465 | 2015-03-26 |
| 1619392123 | Connie Lavon Davis | Registered Nurse | 3130 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1940 | 2014-02-20 |
| 1154635803 | Connie Linda Davis | Speech-Language Pathologist | 1610 Shands Dr, Tupelo, MS 38804-1734 | 2010-08-04 |
| 1417078692 | Connie Davis | Nurse Practitioner | 700 Se 5th Ter Ste 2, Crystal River, FL 34429-4865 | 2007-04-03 |
| 1598883902 | Connie Kaye Davis | Counselor | 807 Madison St, Oregon, IL 61061-1735 | 2007-03-26 |
| 1821054370 | Connie Marie Davis | Psychologist | 105 Lakeview Road, Mt Gretna, PA 17064 | 2006-04-25 |
| 1538142864 | Connie M. Davis | Nurse Practitioner | 401 Sw Bel Air Drive, Clatskanie, OR 97016 | 2005-11-21 |
| 1831576479 | Connie Rae Davis | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2015-05-04 |
| Street Address |
208 HOSPITAL PARKWAY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669673448 | Wanwarat Ananthapanyasut | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98273 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1265650857 | Kirandeep Khangura | Internal Medicine | 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2007-04-22 |
| 1295755114 | Cheryl L Emmons | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2006-07-21 |
| 1881622504 | Dongsoo Kim | Internal Medicine | 102 Valentine St, Mount Vernon, NY 10550-2504 | 2006-06-29 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 1174789325 | Kidney & Hypertension Clinic Pllc | Internal Medicine | 1617 E Division St, Mount Vernon, WA 98274-4503 | 2008-08-06 |
| 1871719476 | Cheryl Emmons Mdsc | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2007-04-18 |
| 1821164765 | Muhammad Irfan Qadir M.d. L.L.C. | Internal Medicine | 514 Gramatan Ave, Suite P3, Mount Vernon, NY 10552-3054 | 2006-11-24 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on CONNIE L. 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.