MR. MITCHELL DAVIS (NPI# 1386054039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386054039 |
Entity Type | Individual |
Full Name | MR. MITCHELL DAVIS |
Practice Address |
111312 Village Rd Chaska MN 55318-1385 |
Practice Telephone | 6503219999 |
Mailing Telephone | 9522212237 |
Enumeration Date | 2014-05-04 |
Last Update Date | 2014-05-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | Q307148741310 | CA | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295110849 | Mitchell N Davis | Physical Therapy Assistant | 5305 Old Oak Tree Dr., Orlando, FL 32808 | 2015-07-24 |
1215364617 | Mitchell Given Davis | Pharmacist | 2002 Klee Pl, Davis, CA 95618-7617 | 2013-09-30 |
1740576149 | Mitchell Elliott Davis | Ophthalmology | 1601 North Portal Drive Nw, Washington, DC 20012-1012 | 2011-06-23 |
1396911350 | Mitchell Eli Davis | Chiropractor | 4144 Lindell Blvd Ste 319, St. Louis, MO 63108-2953 | 2008-04-30 |
1558713396 | Mitchell Davis | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2016-07-05 |
1356639421 | Mitchell R Davis | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2011-07-11 |
1770502601 | Mitchell N. Davis | Internal Medicine | 1447 Medical Park Blvd, Suite 205, Wellington, FL 33414-3164 | 2006-07-19 |
1497716088 | Mitchell Robert Davis | Optometrist | 376 E Penn Dr, Enola, PA 17025-2158 | 2006-03-31 |
1528047149 | Mitchell Gordon Davis | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2006-01-12 |
1346227113 | Mitchell Ryan Davis | Family Medicine | 1921 Stonecipher Boulevard, Ada, OK 74820-3439 | 2005-12-22 |
Street Address |
111312 VILLAGE RD |
City | CHASKA |
State | MN |
Zip Code | 55318-1385 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
Find all providers in zip 55318 |
Taxonomy Code | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720410293 | Dirck Anthony Rilla | Perfusionist | 2545 Chicago Ave, Suite 417, Minneapolis, MN 55404-4522 | 2013-08-06 |
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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.