DR. MARK PHILLIP DAVIS (NPI# 1336247261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336247261 |
| Entity Type | Individual |
| Full Name | DR. MARK PHILLIP DAVIS |
| Credential | M.D. |
| Practice Address |
5501 Backlick Rd Suite 105 Springfield VA 22151-3933 |
| Practice Telephone | 7036422273 |
| Practice Fax Number | 7035646544 |
| Mailing Telephone | 7036422273 |
| Mailing Fax Number | 7035646544 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101027333 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225250 | Mark N Davis | Psychologist | 1479 Oak Ridge Dr, Chico, CA 95928-8856 | 2019-10-04 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1336599588 | Mark Randall Davis | Specialist/Technologist | 1437 6th Street Cir Nw, Hickory, NC 28601-5255 | 2016-06-20 |
| 1891104865 | Mark Davis | Home Health Aide | 1916 Millgate Rd, Anderson, SC 29621-2936 | 2014-08-04 |
| 1457786998 | Mark Henderson Davis | Social Worker | 5384 Street Ne, Community Options Fridley, Fridley, MN 55421 | 2013-09-03 |
| 1699114082 | Mark David Davis | Behavioral Analyst | 12420 S Ridgeland Ave, Palos Heights, IL 60463-1858 | 2013-06-18 |
| 1376813808 | Mark Stephen Davis | Specialist | 4453 Mount Paran Pkwy Nw, Atlanta, GA 30327-3721 | 2011-12-30 |
| 1295053254 | Mark Davis | Pharmacist | 4185 Washington Rd, Mc Murray, PA 15317-2522 | 2010-05-13 |
| 1194968826 | Mark Anthony Davis | Driver | 448 E 272nd St, Euclid, OH 44132-1730 | 2009-04-10 |
| 1750542460 | Mark Alan Davis Sr. | Counselor | 147 Bryn Mawr Ave, Lansdowne, PA 19050-1806 | 2008-06-24 |
| Street Address |
5501 BACKLICK RD SUITE 105 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22151-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047580 | Tasneem A Shaikh | Physical Therapist | 5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 | 2005-07-20 |
| 1609323278 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 5501 Backlick Rd, Springfield, VA 22151-3933 | 2016-09-01 |
| 1003194119 | Tyler Schorr | Occupational Therapist | 5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 | 2011-07-25 |
| 1700112927 | Alliance Rehabilitation, LLC | Chiropractor | 5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 | 2009-10-22 |
| 1518166305 | Kandice Minor | Physical Therapist | 5501 Backlick Rd, Suite 118, Springfield, VA 22151-3933 | 2007-07-12 |
| 1356432207 | Virginia Medical Acute Care PC | Clinic/Center | 5501 Backlick Rd, Suite 105, Springfield, VA 22151-3933 | 2006-09-27 |
| 1912018557 | Antonio K Usman | Family Medicine | 5501 Backlick Rd, Suite 105, Springfield, VA 22151-3933 | 2006-08-31 |
| 1710923362 | Monica Jane Zink | Nurse Practitioner | 5501 Backlick Rd, #105, Springfield, VA 22151 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| 1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
| 1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
| 1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
| 1720597834 | Katelyn E Prue | Behavioral Analyst | 5414 Backlick Road, C, Springfield, VA 22151 | 2017-09-21 |
| 1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
| 1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
| 1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
| Find all providers in zip 22151 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1477081453 | Breeanna Murphy | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2017-06-02 |
| 1851822431 | Sean Murray | Emergency Medicine | 2121 S 4th St, Springfield, IL 62703-3449 | 2017-03-24 |
| 1285093393 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 1312 Boston Road, Springfield, MA 01119-1336 | 2016-02-17 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1134506488 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 430 Cooley St, Springfield, MA 01128-1180 | 2015-05-06 |
| 1669805016 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 200 Us Highway 22, Springfield, NJ 07081-3123 | 2013-08-20 |
| 1346582046 | Shannon Macritchie | Emergency Medicine | 3333 Riverbend Dr., Springfield, OR 97401 | 2013-03-20 |
| 1902156839 | Lindsey Michelle Krawczuk | Emergency Medicine | 3801 S. National Ave., Springfield, MO 65807 | 2012-09-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22151 |
Please comment or provide details below to improve the information on DR. MARK PHILLIP 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.