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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
10540 Marty St, Suite 100, Overland Park, KS 662122551 | 9136601616 | 9136601664 |
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 |
Street Address |
1615 PARKER AVE |
City | OSAWATOMIE |
State | KS |
Zip Code | 66064-1703 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 66064 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
Find all providers with the same taxonomy |
City | OSAWATOMIE |
Zip Code | 66064 |
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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.