JAMES R. DAVIS (NPI# 1164959086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164959086 |
| Entity Type | Organization |
| Organization Name | JAMES R. DAVIS |
| Other Organization Name | SPECIALIZED IMAGING |
| Practice Address |
117 Navajo Trail Dr Ste V Pagosa Springs CO 81147-9033 |
| Mailing Address |
Po Box 5685 Pagosa Springs CO 81147-5685 |
| Practice Telephone | 9702791205 |
| Mailing Telephone | 9702791205 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | JAMES R. DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9702791205 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
117741 | CA | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Specialized Imaging | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | JAMES R. DAVIS II LLC | 16078 South 279 East Ave, Coweta, OK 74429 |
| Street Address |
117 NAVAJO TRAIL DR STE V |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780125377 | James Richard Davis | Radiologic Technologist | 117 Navajo Trail Dr Ste V, Pagosa Springs, CO 81147-9033 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| Find all providers in zip 81147 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780125377 | James Richard Davis | Radiologic Technologist | 117 Navajo Trail Dr Ste V, Pagosa Springs, CO 81147-9033 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013028273 | William Douglas Simmons | Radiologic Technologist | 201 University Blvd, Ste 200, Denver, CO 80206-4657 | 2006-08-31 |
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
Please comment or provide details below to improve the information on JAMES R. DAVIS.
| 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.