DR. GREGG E DAVIS (NPI# 1306887674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306887674 |
| Entity Type | Individual |
| Full Name | DR. GREGG E DAVIS |
| Credential | MD |
| Practice Address |
204 Park Ave E Princeton IL 61356-2114 |
| Practice Telephone | 8158793212 |
| Practice Fax Number | 8158798602 |
| Mailing Telephone | 8158793212 |
| Mailing Fax Number | 8158798602 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 36058885 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036-058885 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508036674 | Gregg D. Davis | Chiropractor | 2565 N. Charlebois Rd., Apache Junction, AZ 85219-8635 | 2008-03-05 |
| 1295369007 | Gregg S Davis | Registered Nurse | 7763 Northside Dr, N Charleston, SC 29420-8944 | 2020-03-02 |
| Street Address |
204 PARK AVE E |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447481908 | Gregg E Davis Md Ltd | Clinic/Center | 204 Park Ave E, Princeton, IL 61356-2114 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| 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 |
|---|---|---|---|---|
| 1528612587 | Joan M Markison | Family Medicine | 22 Morven Pl, Princeton, NJ 08540-3024 | 2019-07-29 |
| 1619531142 | Christina Sheil | Family Medicine | 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 | 2019-04-30 |
| 1174874200 | Alegis Care - New Jersey PC | Family Medicine | 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 | 2012-09-28 |
| 1548557341 | Nicholas Samuel Muscari | Family Medicine | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2011-06-30 |
| 1396041844 | The Other Way | Family Medicine | 923 Cherry Hill Rd, Princeton, NJ 08540-7711 | 2011-02-01 |
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1023279197 | Mark Leenay | Family Medicine | 6940 338th Ln Nw, Princeton, MN 55371-5007 | 2008-06-22 |
| 1619135860 | Elizabeth Joanne Peterson | Family Medicine | 911 Northland Dr., Princeton, MN 55371-1737 | 2008-05-23 |
| 1346444106 | Brian Zack | Family Medicine | 14 Hageman Ln, Princeton, NJ 08540-7547 | 2007-06-13 |
| 1952444234 | Jana Michelle Peters | Family Medicine | 365 Courthouse Road, Princeton, WV 24740 | 2007-02-15 |
| Find all providers in PRINCETON | ||||
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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.