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).
| 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 |
| 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 |
| 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 |
427 N 12TH ST. |
| City | PLUMMER |
| State | ID |
| Zip Code | 83851 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 |
| 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.