DR. DIRK R. DAVIS (NPI# 1134187263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187263 |
| Entity Type | Individual |
| Full Name | DR. DIRK R. DAVIS |
| Credential | M.D. |
| Practice Address |
1350 N 500 E Logan UT 84341-2400 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4357521693 |
| Practice Fax Number | 4357921692 |
| Mailing Telephone | 4357521693 |
| Mailing Fax Number | 4357921692 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
178601-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151814 | Dirk B. Davis | Anesthesiology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2005-11-15 |
| Street Address |
1350 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
| 1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
| 1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
| 1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
| 1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
| 1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
| 1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1760491054 | Vikram Garg | Internal Medicine | 1300 N 500 E Ste 340, Logan, UT 84341-2470 | 2006-08-05 |
| 1255389342 | Raymond Omar Rushden | Internal Medicine | 140 Stollings Ave Ste 2, Logan, WV 25601-4035 | 2006-05-04 |
| 1912023300 | Ihc Health Services Inc | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2007-03-21 |
| 1306974670 | Ihc Health Services Inc | Internal Medicine | 1350 N 500 E, Ste 340, Logan, UT 84341-2400 | 2007-03-01 |
| 1972561165 | Bryan R. Larsen | Internal Medicine | 630 E 1400 N, Suite 100b, Logan, UT 84341-2534 | 2006-05-04 |
| 1336105360 | Verle Duane Bohman | Internal Medicine | 630 E 1400 N, Suite 100b, Logan, UT 84341-2534 | 2006-04-26 |
| 1629034855 | Northern Utah Gastroenterology and Endoscopy Specialists LLC | Internal Medicine | 630 E 1400 N, Logan, UT 84341-2534 | 2006-04-25 |
| 1679538052 | Ziad Salem | Internal Medicine | 20 Hospital Dr, Logan, WV 25601-3452 | 2006-04-19 |
| 1275597809 | Geoffrey L Braden | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-04-12 |
| 1043270358 | Stephen J Ferney | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-03-23 |
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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.