ROBERT S DAVIS (NPI# 1164473146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164473146 |
| Entity Type | Individual |
| Full Name | ROBERT S DAVIS |
| Credential | M.D. |
| Practice Address |
601 Old Wagner Rd Suite 101 Petersburg VA 23805-9313 |
| Practice Telephone | 8045242260 |
| Practice Fax Number | 8045240096 |
| Mailing Telephone | 8045242260 |
| Mailing Fax Number | 8045240096 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101035420 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 110132404 | 01 | |
| VA | 6089127 | 05 |
| 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 |
601 OLD WAGNER RD SUITE 101 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518939594 | Saeed Anwar | Anesthesiology | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2006-02-03 |
| 1629686449 | Virginia Interventional Pain and Spine LLC | Anesthesiology | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2020-07-17 |
| 1427544048 | Jsnv Medical LLC | Podiatrist | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2018-07-06 |
| 1033652169 | Elizabeth Marie King | Nurse Practitioner | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2016-11-21 |
| 1902357387 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 601 Old Wagner Rd, Suite 100, Petersburg, VA 23805-9313 | 2016-10-20 |
| 1417407594 | Anesthesia Services Associates | Anesthesiology | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2016-10-12 |
| 1245685551 | Anesthesia Services Associates Pllc | Anesthesiology | 601 Old Wagner Rd, Unit 100, Petersburg, VA 23805-9313 | 2016-04-25 |
| 1528420544 | Jaimie Sarcon Tahir | Nurse Practitioner | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2016-03-28 |
| 1295194983 | Vmg Specialists PC | Internal Medicine | 601 Old Wagner Rd, Suite 102, Petersburg, VA 23805-9313 | 2016-02-23 |
| 1760812945 | Best Health Care Center LLC | Internal Medicine | 601 Old Wagner Rd, Bldg D, Petersburg, VA 23805-9313 | 2013-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194983 | Vmg Specialists PC | Internal Medicine | 601 Old Wagner Rd, Suite 102, Petersburg, VA 23805-9313 | 2016-02-23 |
| 1164664702 | Medstat Inc | Internal Medicine | 433b S Sycamore St, Petersburg, VA 23803-5042 | 2009-03-28 |
| 1164472726 | Tahir Allauddin | Internal Medicine | 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805-9313 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132235 | Tidewater Lung and Sleep Center, Pllc | Internal Medicine | 4113 River Park Dr, Suffolk, VA 23435-3358 | 2020-10-21 |
| 1053814129 | Winchester Medical Center | Internal Medicine | 190 Campus Blvd Ste 410, Winchester, VA 22601-2872 | 2018-03-14 |
| 1104368943 | John Termini | Internal Medicine | 1154 Daleview Dr, Mc Lean, VA 22102-1540 | 2016-11-10 |
| 1073971610 | Pulmonary Center of Northern Virginia Pllc | Internal Medicine | 24585 Stone Carver Drive Ste 100, Aldie, VA 20105-2798 | 2016-02-09 |
| 1487060950 | Pulmonary Care Consultants of Northern Va | Internal Medicine | 19410 Coppermine Sq, Leesburg, VA 20176-6533 | 2014-07-06 |
| 1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
| 1578905865 | Lung Specialist of Williamsburg PC | Internal Medicine | 121 Bulifants Blvd, Suite A, Williamsburg, VA 23188-5736 | 2013-07-27 |
| 1124370093 | Fairfax Pulmonary Consulting LLC | Internal Medicine | 880 N Pollard St, #501, Arlington, VA 22203-1738 | 2012-10-02 |
| 1275824427 | Katherine Miller Price | Internal Medicine | 1 Park West Cir Ste 301, Midlothian, VA 23114-4518 | 2011-04-22 |
| 1245553031 | Piedmont Pulmonary Associates, P.C. | Internal Medicine | 3014 Watercrest Dr, Charlottesville, VA 22911-7223 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.