SHANE ROBERT DAVIS (NPI# 1134655673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134655673 |
| Entity Type | Individual |
| Full Name | SHANE ROBERT DAVIS |
| Credential | MD |
| Practice Address |
1602 Skipwith Rd Richmond VA 23229-5205 |
| Practice Telephone | 3013356970 |
| Mailing Telephone | 3013356970 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101266115 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Box 980401, Richmond, VA 232985051 | 8048284860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275958696 | Shane Davis | Psychologist | 1492 Liberty Pkwy Nw, Atlanta, GA 30318-9381 | 2014-02-21 |
| 1689822686 | Shane K Davis | Psychologist | 4515 26th St W, Bradenton, FL 34207-7200 | 2008-09-03 |
| 1033170725 | Shane Davis | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2006-03-31 |
| 1164071379 | Shane Davis | Counselor | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-10 |
| 1013478759 | Shane Randal Davis | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-03-26 |
| 1295269736 | Shane Michael Davis | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 53, Orange, CA 92868-3201 | 2017-04-11 |
| Street Address |
1602 SKIPWITH RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193648 | Joseph Francis Cahill | Nurse Anesthetist, Certified Registered | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2005-06-09 |
| 1588292163 | Alexandra Dubose Wali | Registered Nurse | 1602 Skipwith Rd, Richmond, VA 23229-5298 | 2020-03-30 |
| 1982266391 | Forward Pathology Solutions LLC | Pathology | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2019-07-05 |
| 1316409139 | Mary Carter | Registered Nurse | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2019-04-01 |
| 1265904874 | Kathleen Hallowell | Registered Nurse | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2018-12-20 |
| 1487125001 | Emilyn Blakey | Nurse Anesthetist, Certified Registered | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2018-12-07 |
| 1912477043 | Rebecca Ann Farrell Grinsell | Family Medicine | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2018-12-02 |
| 1922593326 | Kristen J Moreno | Physician Assistant | 1602 Skipwith Rd, Richmond, VA 23229-5298 | 2018-06-27 |
| 1831686872 | Michael Mathews | Physician Assistant | 1602 Skipwith Rd, Richmond, VA 23229 | 2018-04-16 |
| 1871092346 | Nadia Sefton | Nurse Anesthetist, Certified Registered | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1649791179 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4050 Fm 762 Road, Richmond, TX 77469-5880 | 2017-07-06 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1124573514 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 8040 W Broad St, Richmond, VA 23294-4218 | 2016-08-16 |
| 1922448810 | Aaron S Wasserman | Emergency Medicine | 1100 Reid Hospital, Richmond, IN 47374-1157 | 2013-06-25 |
| 1649617523 | Daniel A Knott | Emergency Medicine | 5855 Bremo Rd Ste 210, Richmond, VA 23226-1922 | 2013-05-31 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1972860138 | Tuckahoe Creek Emergency Physicians LLC | Emergency Medicine | 12720 Tuckahoe Creek Court, Richmond, VA 23238-1121 | 2012-04-12 |
| 1891077210 | Paul Zelensky | Emergency Medicine | Vcuhs Dept of Med, Palliative and Hospice, 1250 E Marshall Street, Richmond, VA 23298 | 2011-09-12 |
| Find all providers in RICHMOND | ||||
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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.