ROBERT SAMUEL DAVIS


Address: 427 N 12th St., Plummer, ID 83851
Phone: 2086861931

ROBERT SAMUEL DAVIS (NPI# 1134378169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134378169
Entity Type Individual
Full Name ROBERT SAMUEL DAVIS
Credential PA-C
Practice Address 427 N 12th St.
Plummer
ID 83851
Mailing Address Po Box 388
Plummer
ID 83851
Practice Telephone 2086861931
Mailing Telephone 5094742100
Enumeration Date 2008-09-15
Last Update Date 2019-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60055084 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA-767 ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBERT DAVIS

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

Office Location

Street Address 427 N 12TH ST.
City PLUMMER
State ID
Zip Code 83851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306328166 Cristy Kay Counselor 427 N 12th St., Plummer, ID 83851 2018-08-29
1245671379 Tucker Lloyd Larsen Counselor 427 N 12th St., Plummer, ID 83851 2013-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326575325 Terrin Loe Dental Hygienist 358-786 Long Road, Plummer, ID 83851 2017-05-22
1639542830 Selene Bonnell-hall Physical Therapy Assistant 1100 A Street, Plummer, ID 83851 2015-11-10
1609245059 Caley Jordan Pharmacist 427 N 12 St, Plummer, ID 83851 2015-09-16
1861741282 Plummer Gateway Fire Protection Ambulance 609 Poleyard Rd, Plummer, ID 83851 2012-08-30
1497040349 Jason Ford Chapman General Practice 427 N. 12th St., Plummer, ID 83851 2011-06-17
1861797060 Tiffany Marie Korrer Physical Therapy Assistant 1100 A. Street, Plummer, ID 83851 2011-01-19
1710290234 Brian Meyer Optometrist 427 Nth 12th St, Plummer, ID 83851 2010-07-26
1386884369 James Smith Clinical Medical Laboratory 1115 E. St, Plummer, ID 83851 2009-03-03
1013192210 Nikole J Mills Nurse Practitioner 427 N. 12th Street, Plummer, ID 83851 2008-01-07
1538281910 Meche Grace Brownlow Counselor 888 'c' Street, Plummer, ID 83851 2007-04-04
Find all providers in zip 83851

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821695792 Chelsea Dylan Tennent Physician Assistant 1666 E Gentlewind St, Boise, ID 83706-5914 2020-10-05
1922615848 Allison Cluff Physician Assistant 1320 Bennett Ave, Burley, ID 83318-2665 2020-09-24
1245846187 Adam Baker Physician Assistant 271 Jefferson St, Blackfoot, ID 83221-1818 2020-09-16
1265045199 Julia Claire Brodie Physician Assistant 2352 N Apple Ln, Pocatello, ID 83204-7231 2020-08-29
1326651035 Jenna Marie Castillo Physician Assistant 150 Taft Ave, Pocatello, ID 83201-5140 2020-08-24
1174148696 Colton Jason Randall Physician Assistant 3885 Orchard Cir, Ammon, ID 83406-4656 2020-06-10
1871114553 Samantha Tess Goodrich Physician Assistant 721 E Lenz St, Boise, ID 83712-7846 2020-05-04
1174164305 Tessie Mari Mcinnally Physician Assistant 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 2019-09-29
1013562305 Brianna Suzanne Berg Physician Assistant 12535 N Fawn Ct, Hayden, ID 83835-8827 2019-08-05
1003376559 Kodie Thomas Physician Assistant 2086 Picket Ln, Emmett, ID 83617-9104 2019-03-21
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Competitor

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City PLUMMER
Zip Code 83851

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Dataset Information

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.

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