JAN G DAVIS (NPI# 1316975501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316975501 |
| Entity Type | Individual |
| Full Name | JAN G DAVIS |
| Credential | M.D. |
| Practice Address |
1600 N Grand Ave Suite 230 Pueblo CO 81003-2730 |
| Practice Telephone | 7195957260 |
| Practice Fax Number | 7195957265 |
| Mailing Telephone | 7195957260 |
| Mailing Fax Number | 7195957265 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 30574 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01305747 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1275749988 | Jan E Davis | Midwife | 1544 West Us 421, Delphi, IN 46923 | 2007-05-16 |
| 1821171786 | Jan Wayment Davis | Nurse Practitioner | 5290 S 400 E, Ogden, UT 84405-7194 | 2006-10-23 |
| 1316283666 | Jan Lyn Davis | Occupational Therapy Assistant | 11104 Ne 149th St, Brush Prairie, WA 98606-9565 | 2012-12-13 |
| 1689878985 | Jan Duffy Davis | Speech-Language Pathologist | 8th Ave C St, Slc, UT 84143-0001 | 2007-06-12 |
| 1699781997 | Jan Kathryn Davis | Pediatrics | 909 Frostwood Dr, Suite 327, Houston, TX 77024-2301 | 2006-07-31 |
| Street Address |
1600 N GRAND AVE SUITE 230 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1710365416 | Paladina Health, LLC | Family Medicine | 1600 N Grand Ave, Suite 540, Pueblo, CO 81003-2700 | 2015-05-13 |
| 1407249188 | Christopher Traut | Neurological Surgery | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2015-03-05 |
| 1124423116 | Kati Jo Foechterle | Nurse Practitioner | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2014-11-03 |
| 1326469248 | Micah Johnson | Physician Assistant | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2013-12-19 |
| 1720364177 | Anesthesia Management Services, LLC | Nurse Anesthetist, Certified Registered | 1600 N Grand Ave, Suite 420, Pueblo, CO 81003-2700 | 2011-10-31 |
| 1326366105 | Rachel Christine Niemet | Obstetrics & Gynecology | 1600 N Grand Ave, Ste 400, Pueblo, CO 81003-2700 | 2010-05-04 |
| 1306081237 | Neil A Banga | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2008-12-05 |
| 1174770614 | Henrique Jose Fernandez | Internal Medicine | 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 | 2008-08-27 |
| 1831353705 | Marcel Jabour Junqueira | Internal Medicine | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497780498 | Pueblo Orthopedic Professional Corporation | Orthopaedic Surgery | 1008 Minnequa Ave # 1501, Pueblo, CO 81004-3733 | 2006-07-11 |
| 1952334179 | Twee Thi Do | Orthopaedic Surgery | 3676 Parker Blvd Ste 110, Pueblo, CO 81008-2213 | 2006-07-09 |
| 1174593081 | Lance R. Farnworth | Orthopaedic Surgery | 1919 W Us Highway 50, Pueblo, CO 81008-1618 | 2006-01-24 |
| 1063497246 | Shawn Jett Nakamura | Orthopaedic Surgery | 4112 Outlook Blvd Ste 37, Pueblo, CO 81008-1667 | 2005-12-12 |
| 1114216421 | Lucas Raymond King | Orthopaedic Surgery | 3676 Parker Blvd., Ste 310, Pueblo, CO 81008-2215 | 2011-04-07 |
| 1124274949 | Roger W. Davis, Md, LLC | Orthopaedic Surgery | 511 W 29th St, Suite B, Pueblo, CO 81008-1128 | 2008-08-12 |
| 1124220595 | Alex Anthony Romero | Orthopaedic Surgery | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2007-06-05 |
| 1568534642 | Pueblo Bone and Joint Clinic LLC | Orthopaedic Surgery | 1919 W Us Highway 50, Pueblo, CO 81008-1618 | 2006-11-14 |
| 1285714402 | Mark Porter | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-10-16 |
| 1083624944 | Robert Thomas | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-08-09 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on JAN G 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.