CHARLES R DAVIS (NPI# 1194840231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194840231 |
| Entity Type | Individual |
| Full Name | CHARLES R DAVIS |
| Practice Address |
445 E 124th Ave Thornton CO 80241-2402 |
| Mailing Address |
8950 E Lowry Blvd Denver CO 80230-7030 |
| Practice Telephone | 3033271189 |
| Mailing Telephone | 3039127193 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21195 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01211952 | 05 | |
| MEDICARE RAILROAD | 110519276 | 01 | |
| CO | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1920 13th St, Boulder, CO 803025285 | 3034033880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1285055715 | Charles Andre Davis | Counselor | 1211 Putnam Ave, Brooklyn, NY 11221-4909 | 2013-12-31 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| Street Address |
445 E 124TH AVE |
| City | THORNTON |
| State | CO |
| Zip Code | 80241-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821157934 | Seniors Inc | Home Health | 445 E 124th Ave, Thornton, CO 80241-2402 | 2006-12-06 |
| 1881203842 | Lauren Kearney | Nurse Practitioner | 445 E 124th Ave, Thornton, CO 80241-2402 | 2020-07-27 |
| 1891138590 | Seniors Inc | Home Health | 445 E 124th Ave, Thornton, CO 80241-2402 | 2013-04-11 |
| 1578796355 | Hernando A Mispireta | Nurse Practitioner | 445 E 124th Ave, Thornton, CO 80241-2402 | 2009-08-27 |
| 1528251873 | Jennifer Vacca | Internal Medicine | 445 E 124th Ave, Thornton, CO 80241-2402 | 2007-08-21 |
| 1891903902 | Joanne Lofthouse | Nurse Practitioner | 445 E 124th Ave, Thornton, CO 80241-2402 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787991 | Melanie Tyler | Counselor | 12301 Pennsylvania, Suite 101, Thornton, CO 80241 | 2020-03-31 |
| 1487218699 | Diane Marie Hansen | Counselor | 491 E 133rd Way, Thornton, CO 80241 | 2019-04-24 |
| 1164979712 | James Brannan | Contractor | 13364 Birch Court, Thornton, CO 80241 | 2016-09-01 |
| 1083925200 | Keralee Vought | Social Worker | 12015 Grape St, Thornton, CO 80241 | 2010-06-23 |
| 1770767675 | Charles E Januschka | Chiropractor | 3953b E 120th Ave, Thornton, CO 80241 | 2007-12-27 |
| 1407928724 | Erica A Derby | Dentist | 2800 East 136th Avenue, Thornton, CO 80241 | 2006-11-14 |
| 1558445361 | Carolyn Watt Mauterer | Dentist | 2800 E 136th Ave, Thornton, CO 80241 | 2006-10-25 |
| 1215046842 | Adams 12 Five Star Schools | Local Education Agency (LEA) | 1500 E 128th Avenue, Adams 12 Five Star Schools C/o Sandra Sellstrom, Thornton, CO 80241 | 2006-08-29 |
| 1366932162 | University of Colorado Hospital Authority | Clinic/Center | 12020 Colorado Blvd, Thornton, CO 80241 | 2018-05-16 |
| 1376077438 | Spencer Del Moral | Student in an Organized Health Care Education/Training Program | 4075 E 128th Ave, Thornton, CO 80241 | 2017-04-16 |
| Find all providers in zip 80241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706035 | Front Range Clinic Inc. | Family Medicine | 9025 Grant St Ste 101, Thornton, CO 80229-4362 | 2017-08-17 |
| 1891092664 | Catholic Health Initiatives Colorado | Family Medicine | 13691 Colorado Blvd., Suite 106, Thornton, CO 80602 | 2011-02-14 |
| 1164724647 | Vernon Y.j. Lee Do P.C. | Family Medicine | 9141 Grant St Ste 245, Thornton, CO 80229-4367 | 2010-12-03 |
| 1811218506 | Amy Lynne Rinner | Family Medicine | 8990 N. Washington St, Thornton, CO 80229-4537 | 2010-06-16 |
| 1265610141 | Eric H Keahey | Family Medicine | 9669 Huron St Ste 201, Thornton, CO 80260-5669 | 2008-02-04 |
| 1962523555 | Elisa Guardiola Melendez-eisman | Family Medicine | 1181 E. 120th Ave, Unit A, Thornton, CO 80233 | 2007-04-02 |
| 1023109188 | Carlos F Vera | Family Medicine | 9981 Washington St Ste 22, Thornton, CO 80229-2165 | 2006-09-27 |
| 1891805040 | Heather D. West | Family Medicine | 9720 Grant St # 2, Thornton, CO 80229-2154 | 2006-08-30 |
| 1003829565 | Philip Michael Henbest | Family Medicine | 9981 Washington St, Suite 21, Thornton, CO 80229-2169 | 2006-08-15 |
| 1194771899 | Stephen Wayne Cobb | Family Medicine | 16570 Washington St, Thornton, CO 80023-8964 | 2006-05-25 |
| Find all providers in THORNTON | ||||
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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.