JASON C DAVIS (NPI# 1114257789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114257789 |
| Entity Type | Individual |
| Full Name | JASON C DAVIS |
| Credential | P.A. -C |
| Practice Address |
629 Avenue D Snohomish WA 98290-2330 |
| Practice Telephone | 2538203510 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870927 | Jason Thomas Davis | Counselor | 2530 Crawford Ave Ste 208, Evanston, IL 60201-4959 | 2017-06-07 |
| 1124443486 | Jason Davis | Physical Therapy Assistant | 1840 Hudson Hollow Rd, Stephens City, VA 22655-3330 | 2014-02-24 |
| 1306133392 | Jason O. Davis | Dentist | 4552 Kings Hwy, Brooklyn, NY 11234-2028 | 2011-06-29 |
| 1023322633 | Jason Brandon Davis | Emergency Medical Technician, Basic | 172 Elvington Ln, Lexington, SC 29073-8875 | 2010-08-06 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1467424606 | Jason M Davis | Pediatrics | 183 Cherry St, New Canaan, CT 06840-4820 | 2006-02-02 |
| 1174513832 | Jason Davis | Chiropractor | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | 2005-10-25 |
| 1023632205 | Jason Davis | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2020-06-03 |
| 1174029870 | Jason Davis | General Practice | 619 19th St South, Jt N338, Birmingham, AL 35071 | 2018-04-02 |
| 1205352614 | Jason Michael Davis | Physical Therapy Assistant | 13220 Usf Laurel Drive, Tampa, FL 33612 | 2017-08-17 |
| Street Address |
629 AVENUE D |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346227170 | Jose Mata | Family Medicine | 629 Avenue D, Snohomish, WA 98290 | 2005-12-22 |
| 1780131672 | Breanne Janelle Vanvoast | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2016-09-08 |
| 1760886980 | Western Washington Medical Group, Inc Ps | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2014-10-17 |
| 1831447622 | Caralee Lydia Wirth | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2012-08-27 |
| 1891068466 | Snohomish Speech & Language | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2012-02-13 |
| 1114294857 | Alison Leslie Damboise | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2011-11-23 |
| 1376847657 | Brian Eirik Coe, O.d., P.s., Inc | Optometrist | 629 Avenue D, Snohomish, WA 98290-2330 | 2010-12-31 |
| 1417184870 | Pamela Elizabeth Wireman | Physician Assistant | 629 Avenue D, Snohomish, WA 98290-2330 | 2009-06-12 |
| 1780874602 | Karen J. Sallee | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2007-07-26 |
| 1053484170 | Brian Eirik Coe | Optometrist | 629 Avenue D, Suite 2, Snohomish, WA 98290 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388011 | Brooklyn P Becanic | Physician Assistant | 8102 151st Pl Se, Snohomish, WA 98296-7708 | 2020-02-21 |
| 1013987379 | Marylou Hernandez | Physician Assistant | 8202 134th St Se, Snohomish, WA 98296-5938 | 2006-01-26 |
| 1174950463 | Robert Williams Hezlep | Physician Assistant | 401 2nd St, Snohomish, WA 98290-3008 | 2013-10-01 |
| 1417184870 | Pamela Elizabeth Wireman | Physician Assistant | 629 Avenue D, Snohomish, WA 98290-2330 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.