CORY DAVIS (NPI# 1326453150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326453150 |
| Entity Type | Individual |
| Full Name | CORY DAVIS |
| Practice Address |
6010 S Mason Montgomery Rd Mason OH 45040-3706 |
| Mailing Address |
4685 Forest Ave Ste C Cincinnati OH 45212-3359 |
| Practice Telephone | 5132467000 |
| Practice Fax Number | 5132046355 |
| Mailing Telephone | 5132467796 |
| Mailing Fax Number | 5138528525 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.16107-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO LICENSE | COA.16107-NP | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1265965396 | Cory William Davis | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-05 |
| 1457478182 | Cory C Davis | Preventive Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-26 |
| Street Address |
6010 S MASON MONTGOMERY RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058037 | Michael A Hoffmann | Internal Medicine | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2006-01-20 |
| 1053791483 | Jeffrey Zaenger | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-06-01 |
| 1982081931 | Benjamin Terrence Minick | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-04-29 |
| 1821480096 | Melissa Lynn Basile | Occupational Therapist | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-02-25 |
| 1912246711 | Jeannie Marchionda | Audiologist | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2013-02-14 |
| 1932463551 | Michelle E Khosla | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-06-28 |
| 1699039529 | Kayla Jeanell Smith | Plastic Surgery | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-06-26 |
| 1609142579 | Katherine Livesay Broering | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-03-26 |
| 1306136460 | Kelly M Bennett | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2011-04-11 |
| 1417199084 | Shrishail Melappa Nashi | Physical Medicine & Rehabilitation | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2009-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843370 | Amy Richards Lusk | Nurse Practitioner | 6010 Mason Montgomery Rd., Mason, OH 45040-3706 | 2019-10-17 |
| 1366480568 | Maria T. Weitfle | Nurse Practitioner | 5184 Socialville Foster Rd, Mason, OH 45040-9842 | 2006-06-02 |
| 1215554050 | Denise Re | Nurse Practitioner | 4483 Us North 42, Mason, OH 45040-1934 | 2020-06-27 |
| 1790332617 | Sarah M Hemminger | Nurse Practitioner | 6110 Radio Way, Mason, OH 45040-4520 | 2019-08-26 |
| 1740767144 | Lora Kinner | Nurse Practitioner | 7450 S Mason Montgomery Rd, Mason, OH 45040 | 2018-07-27 |
| 1720426356 | Amanda Vaughan Porter | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2013-06-05 |
| 1164778924 | Seth L Stephenson | Nurse Practitioner | 5298 Socialville Foster Rd, Mason, OH 45040-9302 | 2012-07-31 |
| 1932463551 | Michelle E Khosla | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-06-28 |
| 1134243900 | Lynette O'connor | Nurse Practitioner | 630 N Cedar St, Mason, MI 48854-1017 | 2007-03-19 |
| 1780714311 | Nicole N Mori | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040 | 2007-03-06 |
| Find all providers in MASON | ||||
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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.