MR. JASON ARTHUR DAVIDSON (NPI# 1134225931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134225931 |
| Entity Type | Individual |
| Full Name | MR. JASON ARTHUR DAVIDSON |
| Practice Address |
100 John Maddox Dr Nw Suite A-4 Rome GA 30165-1431 |
| Practice Telephone | 7063688022 |
| Mailing Telephone | 7063688022 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1768 | TN | Chiropractic Providers |
| Y | 367H00000X | Anesthesiologist Assistant | 005903 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285194233 | Jason Brant Davidson | Registered Nurse | 36205 Ketchum Rd, Wildomar, CA 92595-7553 | 2019-03-24 |
| 1760412365 | Jason Howard Davidson | Chiropractor | 2609 Discovery Dr, Suite 105, Raleigh, NC 27616-1905 | 2006-07-03 |
| 1700262383 | Jason Sioualofa Davidson | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-08-05 |
| 1821238700 | Jason Wesley Davidson | Chiropractor | 21075 Swenson Dr, Suite 700, Waukesha, WI 53186-2000 | 2009-03-04 |
| 1558412478 | Jason D Davidson | Specialist/Technologist, Other | 880 Montclair Rd, Suite 577, Birmingham, AL 35213-1972 | 2007-01-16 |
| Street Address |
100 JOHN MADDOX DR NW SUITE A-4 |
| City | ROME |
| State | GA |
| Zip Code | 30165-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346284171 | Redmond Physician Practice Co Iv | Family Medicine | 100 John Maddox Dr Nw, Rome, GA 30165-1431 | 2006-06-15 |
| 1730344094 | Tyler J Dubs | Family Medicine | 100 John Maddox Dr Nw, Suite A-2, Rome, GA 30165-1431 | 2008-07-25 |
| 1902960719 | Redmond Physician Practice Company | Pediatrics | 100 John Maddox Dr Nw, Rome, GA 30165-1431 | 2006-12-19 |
| 1437173556 | Charles Joseph Betz | Family Medicine | 100 John Maddox Dr Nw, Rome, GA 30165-1431 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700447604 | Rebecca Anne Phrommala | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2019-06-22 |
| 1457833105 | Harry Mallette Peagler Iv | Anesthesiologist Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2018-08-29 |
| 1982181046 | Kay Ellen Winfrey | Anesthesiologist Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2018-07-22 |
| 1922585074 | Nery J Castillo | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165 | 2018-07-22 |
| 1790231363 | Taylor Jade Pence | Anesthesiologist Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2016-09-01 |
| 1407102304 | Lauriel Bortnick | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2012-07-28 |
| 1730460437 | Lani Michelle Roberts | Anesthesiologist Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2011-09-08 |
| 1518111624 | Charles E. Hufstetler | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2008-11-17 |
| 1861654089 | Sharna Charlotte Draia | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2008-06-29 |
| 1295840585 | Jeffrey Lee Mahoney | Anesthesiologist Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2006-08-20 |
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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.