DR. CHARLES ISAAC DAVIS JR.


Address: 1615 Parker Ave, Osawatomie, KS 66064-1703
Phone: 9136601616

DR. CHARLES ISAAC DAVIS JR. (NPI# 1346228921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346228921
Entity Type Individual
Full Name DR. CHARLES ISAAC DAVIS JR.
Credential MD
Practice Address 1615 Parker Ave
Osawatomie
KS 66064-1703
Mailing Address 36123 Schoolcraft Rd
Livonia
MI 48150-1216
Practice Telephone 9136601616
Mailing Telephone 9136601616
Mailing Fax Number 9136601664
Enumeration Date 2006-01-04
Last Update Date 2018-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
2006018665 MO Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
0429493 KS Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
10540 Marty St, Suite 100, Overland Park, KS 662122551 9136601616 9136601664

Other Providers CHARLES DAVIS

NPI Name Taxonomy Address Enumeration
1447726435 Charles Wayne Davis Pharmacist 1900 Patterson St Ste 200, Nashville, TN 37203-2167 2018-10-17
1588073175 Charles R. Davis Jr. Home Health Aide 436 E Carpenter Dr, New Carlisle, OH 45344-2529 2014-08-07
1841601739 Charles Davis Pharmacist 4333 W. Pierson Rd. G, Flint, MI 48504 2014-05-13
1285055715 Charles Andre Davis Counselor 1211 Putnam Ave, Brooklyn, NY 11221-4909 2013-12-31
1154669026 Charles King Davis Jr. Surgery 755 Woodland Dr, Paducah, KY 42001-4677 2013-01-28
1417260936 Charles A Davis Jr. Dentist 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 2010-07-26
1417287160 Charles F Davis Physical Therapist 232 Oleander Ave, Palm Beach, FL 33480-3807 2009-12-31
1548427818 Charles M Davis Jr. Pharmacist 2530 Marilyn St, Pocatello, ID 83201-8022 2008-05-22
1174719033 Charles Henry Davis Orthotist 4859 Shed Rd, Suite 200, Bossier City, LA 71111 2007-09-24
1831306349 Charles Gentry Davis Jr. Dentist 331 De Baliviere Ave, Saint Louis, MO 63112-1803 2007-05-16

Office Location

Street Address 1615 PARKER AVE
City OSAWATOMIE
State KS
Zip Code 66064-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730729575 Alyson Lyn Hastings Occupational Therapy Assistant 1615 Parker Ave, Osawatomie, KS 66064-1703 2020-01-09
1790322147 Dawn B Schill Occupational Therapist 1615 Parker Ave, Osawatomie, KS 66064-1703 2019-12-04
1447809389 Cecilia Smith Speech-Language Pathologist 1615 Parker Ave, Osawatomie, KS 66064-1703 2019-09-04
1093364846 Cassandra Favrow Physical Therapy Assistant 1615 Parker Ave, Osawatomie, KS 66064-1703 2019-09-04
1265091565 Kirk B Riepe Physical Therapist 1615 Parker Ave, Osawatomie, KS 66064-1703 2019-06-10
1205360922 Emily Busenitz Physical Therapy Assistant 1615 Parker Ave, Osawatomie, KS 66064-1703 2017-04-19
1053845040 Robin Allen Occupational Therapy Assistant 1615 Parker Ave, Osawatomie, KS 66064-1703 2017-04-17
1619418126 Clayton Kellerman Physical Therapy Assistant 1615 Parker Ave, Osawatomie, KS 66064-1703 2017-03-16
1407308430 Meagan K Crooks Speech-Language Pathologist 1615 Parker Ave, Osawatomie, KS 66064 2016-10-25
1003270273 Emily Mcgee Speech-Language Pathologist 1615 Parker Ave, Osawatomie, KS 66064-1703 2016-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871143230 Barry Oden Technician 305 Brown A Ve, Osawatomie, KS 66064 2019-09-18
1801078282 Cook Chiropractic, LLC Chiropractor 501 E. Main St., Osawatomie, KS 66064 2007-11-28
1871648105 Tri-ko. Inc. Day Training, Developmentally Disabled Services 301 First Street, Osawatomie, KS 66064 2007-01-25
1164403143 Denise Leann Burns Pharmacist 500 Osawatomie Road, Osawatomie, KS 66064 2005-11-08
1063403970 Brenda Rae Martin Pharmacist Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 2005-10-31
1518087337 Barbara Renee Winkleman Psychiatry & Neurology 500 State Hospital Drive, Osawatomie, KS 66064 2007-03-29
1770633893 Auten Pharmacy Inc. Pharmacy 125 E Main St, Osawatomie, KS 66064 2007-01-11
1528040953 Osawatomie State Hospital Psychiatric Hospital 500 Hosptial Dr, Osawatomie, KS 66064-0500 2005-11-21
1437336948 Andrew S. Cook Chiropractor 501 1st St, Osawatomie, KS 66064-1105 2008-01-28
1831654177 A Auten Pharmacy Inc Durable Medical Equipment & Medical Supplies 125 E Main St, Osawatomie, KS 66064-1125 2019-01-31
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245741446 Frontier Healthcare LLC Internal Medicine 12140 Nall Ave Ste 125, Overland Park, KS 66209-2503 2017-10-16
1942319447 Internal Medicine Specialists, Inc Internal Medicine 10540 Barkley St, Suite 205, Overland Park, KS 66212-1811 2006-08-29
1063437176 Shelley Lynn Alexander Internal Medicine 10557 Mission Rd, Leawood, KS 66206-2522 2006-07-12
1811924780 Charles I Davis Md Pa Internal Medicine 9250 Glenwood St, Suite 100, Overland Park, KS 66212-1365 2006-06-27
1871558692 Dana C. Malis Internal Medicine 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 2006-04-18
1770546129 Pravin Sampat Internal Medicine 3300 Sw 29th St, Topeka, KS 66614-2039 2006-04-07
1518469311 Medical Specialists Pa Internal Medicine 10550 Marty St Ste 201, Overland Park, KS 66212-2557 2018-03-07
1336527134 Laura Badjalimbe Internal Medicine 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 2015-05-12
1699082776 Melissa Jane Mills Internal Medicine 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 2010-09-10
1346579000 Christopher B Geha Md Inc Internal Medicine 8800 State Line Rd, Leawood, KS 66206-1553 2009-12-09
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Competitor

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City OSAWATOMIE
Zip Code 66064

Improve Information

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Dataset Information

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.

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