DR. NEAL MALCOLM DAVIS (NPI# 1437152113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437152113 |
| Entity Type | Individual |
| Full Name | DR. NEAL MALCOLM DAVIS |
| Credential | DO |
| Practice Address |
254 Brooklyn St Suite 1 Carbondale PA 18407-1879 |
| Practice Telephone | 5702823347 |
| Practice Fax Number | 5702822189 |
| Mailing Telephone | 5702823347 |
| Mailing Fax Number | 5702822189 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS-006841-L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578818720 | Neal Whitman Davis | Optometrist | 6375 Ulali Dr Ne, Keizer, OR 97303-1697 | 2012-07-13 |
| 1992161590 | Neal Eugene Davis Jr. | Counselor | 2450 N Reynolds Rd, Toledo, OH 43615-2841 | 2016-01-12 |
| 1902966294 | Neal Davis | Social Worker | 61 N Willow St, Suite 4, Mesquite, NV 89027-4785 | 2006-12-09 |
| 1881659134 | Neal Alan Davis | Anesthesiology | 2808 S 143rd Plz, Omaha, NE 68144-5611 | 2006-04-19 |
| Street Address |
254 BROOKLYN ST SUITE 1 |
| City | CARBONDALE |
| State | PA |
| Zip Code | 18407-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093025272 | Ann Bridget Diehl | Physician Assistant | 254 Brooklyn St, Carbondale, PA 18407-2824 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| Find all providers in zip 18407 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502570 | Zubin Wala | Family Medicine | 300 W Oak St Ste 200, Carbondale, IL 62901-1400 | 2020-06-08 |
| 1023490950 | Kowsika Movva | Family Medicine | 207 W Jackson St Ste 102, Carbondale, IL 62901-1408 | 2015-06-27 |
| 1710392428 | Andrew John Hossler | Family Medicine | 207 W Jackson St Ste 101, Carbondale, IL 62901-1408 | 2014-06-23 |
| 1487833091 | Sarah Hasek, Md, LLC | Family Medicine | 207 W Jackson St Ste 202, Carbondale, IL 62901-1408 | 2007-10-31 |
| 1770635062 | Deedra Gail Mclain | Family Medicine | 300 W Oak St, Carbondale, IL 62901-1400 | 2007-01-17 |
| 1710034236 | Anna Gabriela Konicek | Family Medicine | 151 Summit Dr, Carbondale, CO 81623-8747 | 2007-01-05 |
| 1295801835 | Kimball John Spence | Family Medicine | 1340 Hwy 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1659447290 | Gary D Knaus | Family Medicine | 1340 Highway 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1366526600 | Paul A Bennett | Family Medicine | 374 E. Grand Ave, Carbondale, IL 62901 | 2006-10-24 |
| 1285723635 | Roger D Jones | Family Medicine | 207 W Jackson Ste 102, Carbondale, IL 62901 | 2006-10-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 18407 |
Please comment or provide details below to improve the information on DR. NEAL MALCOLM 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.