SHELDON LEONARD DAVIS (NPI# 1154416154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154416154 |
| Entity Type | Individual |
| Full Name | SHELDON LEONARD DAVIS |
| Credential | MD |
| Practice Address |
226 S Woods Mill Rd Ste 48w Chesterfield MO 63017-3663 |
| Practice Telephone | 3145767503 |
| Practice Fax Number | 3145762150 |
| Mailing Telephone | 3145767503 |
| Mailing Fax Number | 3145762150 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | R5753 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 05556 | 01 |
| MO | 201334901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4200 N Cloverleaf Dr Ste C, Saint Peters, MO 633766436 | 3145767503 | 3145762150 |
| Street Address |
226 S WOODS MILL RD STE 48W |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786838 | Paul E. Burk | Otolaryngology | 226 S Woods Mill Rd Ste 48w, Chesterfield, MO 63017-3663 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786838 | Paul E. Burk | Otolaryngology | 226 S Woods Mill Rd Ste 48w, Chesterfield, MO 63017-3663 | 2005-08-10 |
| 1912440611 | Sheldon L Davis Md Inc | Otolaryngology | 226 S Woods Mill Rd, Suite 48w, Chesterfield, MO 63017-3662 | 2016-11-29 |
| 1639497829 | Matthew Anthony Marino | Otolaryngology | 226 S Woods Mill Rd, 37w, Chesterfield, MO 63017-3662 | 2010-05-12 |
| 1417181264 | Roberta Lima | Otolaryngology | 226 S Woods Mill Rd, Suite 37w, Chesterfield, MO 63017-3662 | 2009-05-07 |
| 1811089675 | Ent Associates, Inc | Otolaryngology | 226 S Woods Mill Rd, Suite 37w, Chesterfield, MO 63017-3662 | 2006-09-29 |
| 1154310977 | Norman S Druck | Otolaryngology | 226 S Woods Mill Rd, Suite 37 West, Chesterfield, MO 63017-3662 | 2005-10-14 |
| 1912996745 | John D Dahm | Otolaryngology | 226 S Woods Mill Rd, Suite 37 W, Chesterfield, MO 63017-3662 | 2005-10-14 |
| 1316936115 | John Y Park | Otolaryngology | 226 S Woods Mill Rd, Ste 37w, Chesterfield, MO 63017-3662 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
| 1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
| 1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1649621921 | Zachary Farhood | Otolaryngology | 3635 Vista Ave, 6fdt, St. Louis, MO 63110 | 2016-06-28 |
| 1538510961 | Haley Nicole Bray | Otolaryngology | 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 | 2016-06-27 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1013304914 | Andrea Lee Hanick | Otolaryngology | Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141 | 2015-04-20 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.