ROBERT NICHOLAS DAVIS (NPI# 1093799447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093799447 |
| Entity Type | Individual |
| Full Name | ROBERT NICHOLAS DAVIS |
| Credential | MD |
| Practice Address |
600 Walter Reed Dr Greensboro NC 27403-4541 |
| Practice Telephone | 3362946555 |
| Practice Fax Number | 3362946556 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 13428 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8927878 | 05 | |
| BLUE CROSS | 27878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
| 1487200366 | Robert Davis II | Case Manager/Care Coordinator | 9721 Southern Oaks Dr, Midwest City, OK 73130-5410 | 2019-08-15 |
| 1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
| 1497319198 | Robert Ralph Davis | Licensed Practical Nurse | 1222 Albany Post Rd, Gardiner, NY 12525-5504 | 2019-04-28 |
| 1972012714 | Robert L Davis | Internal Medicine | 107 Forsythia Dr N, Levittown, PA 19056 | 2017-09-25 |
| 1225569478 | Robert Davis II | Physical Therapy Assistant | 19 S Woodlawn Ave, Apt 1, Aldan, PA 19018-3916 | 2017-03-21 |
| 1114393105 | Robert Davis | Licensed Vocational Nurse | 821 1/2 W Balboa Blvd, Newport Beach, CA 92661-1107 | 2015-08-13 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1275957847 | Robert Davis Sr. | Student in an Organized Health Care Education/Training Program | 102 S. 11th Street, San Jose, CA 95112 | 2014-02-18 |
| Street Address |
600 WALTER REED DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003226051 | Mario Mitkov | Dermatology | 3107 Brassfield Rd Ste 300, Greensboro, NC 27410-2074 | 2014-04-30 |
| 1750439188 | Bruce Phillip Mccoy | Dermatology | 526 North Elam Avenue, Suite 201, Greensboro, NC 27403-1132 | 2007-01-08 |
| 1538236294 | Wayne G. Woods Md Pa | Dermatology | 719 Green Valley Rd Ste 203, Greensboro, NC 27408-7025 | 2006-11-29 |
| 1023105897 | John H Hall Jr Md Pa | Dermatology | 1305 W Wendover Avenue, Ste D, Greensboro, NC 27408 | 2006-10-05 |
| 1033195789 | Dermatology Specialists Pa | Dermatology | 510 N Elm Ave, Suite 303, Greensboro, NC 27403-1142 | 2005-12-15 |
| 1013914910 | Robert G Goodrich | Dermatology | 2704 Saint Jude St, Greensboro, NC 27405-3670 | 2005-07-07 |
| 1962405647 | David E. Tart | Dermatology | 5704 Hidden Orchard Dr, Greensboro, NC 27410-2523 | 2005-05-24 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| 1003382839 | Bethany Medical Center | Dermatology | 3801 W Market St, Greensboro, NC 27407-1301 | 2018-10-19 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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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.