DR. KENNETH DAVIS JR. (NPI# 1295703122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295703122 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DAVIS JR. |
| Credential | MD |
| Practice Address |
234 Goodman Street Cincinnati OH 45219-2364 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134758787 |
| Practice Fax Number | 5135583136 |
| Mailing Telephone | 5135855506 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35 051087 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
35-051087 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0571804 | 05 | |
| KY | 64786429 | 05 | |
| RAILROAD MEDICARE | P00442454 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480645 | Kenneth Davis | Pharmacist | 60 Hospital St, Cadiz, KY 42211-7970 | 2016-08-02 |
| 1336567767 | Kenneth Davis | Contractor | 8908 E Mint Cir, Palmer, AK 99645-8053 | 2014-04-02 |
| 1750707931 | Kenneth Roger Davis | Internal Medicine | 315 N 71st St, Seattle, WA 98103-5019 | 2014-03-11 |
| 1649601774 | Kenneth L Davis | Counselor | 1404 E. 11th Avenue, Spokane, WA 99202 | 2013-11-27 |
| 1124384359 | Kenneth Wayne Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2012-04-02 |
| 1134458045 | Kenneth Carter Davis | Occupational Therapist | 2 Post Rd, Warwick, RI 02888-1607 | 2009-12-24 |
| 1942444948 | Kenneth Scott Davis | Psychiatry & Neurology | 1837 Edenside Ave, Louisville, KY 40204-1521 | 2009-04-22 |
| 1205040771 | Kenneth P Davis | Psychologist | 821 W Van Buren St, Chicago, IL 60607-3517 | 2007-05-10 |
| 1740301886 | Kenneth William Davis | Chiropractor | 381 Palm Coast Pkwy Sw, Unit 2, Palm Coast, FL 32137-4781 | 2007-04-03 |
| 1760499198 | Kenneth James Davis | Pharmacist | 326 Doyle St W, Toccoa, GA 30577-2314 | 2006-08-01 |
| Street Address |
234 GOODMAN STREET |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746368 | Virginia M Molleran | Radiology | 234 Goodman Street, Cincinnati, OH 45219 | 2005-08-02 |
| 1356960470 | Bailee Ann Stark | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-09 |
| 1831728187 | Bronwyn Menai Finney | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-07 |
| 1265061618 | Nana Afari Thomas Simpson | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Cincinnati, OH 45219-0796 | 2020-04-07 |
| 1326677931 | Maksim Kletsel | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-06 |
| 1043849532 | Courtney Elizabeth Kein | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-06 |
| 1417586074 | Elizabeth Jane Stevens | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219 | 2020-04-06 |
| 1255960902 | Melanie Ann Yates | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-05 |
| 1891324570 | Marlena Rose Wosiski-kuhn | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Center for Emergency Care, Cincinnati, OH 45219-0796 | 2020-04-05 |
| 1760011423 | Jace Tanner Erwin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Cincinnati, OH 45219-0796 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891952388 | Brian Joseph Gavitt | Surgery | 231 Albert Sabin Way, Cincinnati, OH 45267-2827 | 2008-05-21 |
| 1790957033 | Sandra Miller Md, LLC | Surgery | 2123 Auburn Ave, Suite 442, Cincinnati, OH 45219-2906 | 2008-03-27 |
| 1962566943 | Juan L Peschiera | Surgery | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2006-12-21 |
| 1164490702 | Joseph Solomkin | Surgery | 222 Piedmont Ave, Ste. 7000, Cincinnati, OH 45219-4231 | 2006-03-09 |
| 1144297235 | Peter C Muskat | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-03-07 |
| 1790755700 | Joel B Elterman | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-01-23 |
| 1548257405 | Jay Albert Johannigman | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-10-05 |
| 1285629675 | Mary F Stuever | Surgery | 234 Goodman St, Cincinnati, OH 45219 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446919 | Katie Francis | Surgery | 55 Arch St Ste 2d, Akron, OH 44304-1424 | 2014-03-31 |
| 1710132386 | Gem City Acute Surgical Care Consultants, Inc. | Surgery | 1035 Hidden Ridge Ln, Centerville, OH 45459-3232 | 2008-11-24 |
| 1609824267 | Jeffrey D Hutchison | Surgery | 5131 Beacon Hill Road, Columbus, OH 43228 | 2006-05-05 |
| 1861457863 | Complete Eyecare West Inc | Surgery | 5141 W Broad St, Suite 100, Columbus, OH 43228-1992 | 2006-04-20 |
| 1265435820 | Rachel L. Novakovic | Surgery | 2409 Cherry Street, Mob 303, Toledo, OH 43608 | 2005-05-27 |
| 1093107617 | Jenna Borys | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2015-02-19 |
| 1235549684 | David Testrake | Surgery | 1581 Dodd Dr Fl 1, Columbus, OH 43210-1257 | 2014-05-06 |
| 1710305628 | Meghan Wooster | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2014-03-29 |
| 1366785727 | Ryan Lee Lucero | Surgery | 111 S Grant Ave Ste 350, Columbus, OH 43215 | 2013-04-03 |
| 1124361118 | Alaina M Lasinski | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.