DR. DAMON DAVIS (NPI# 1437275641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437275641 |
| Entity Type | Individual |
| Full Name | DR. DAMON DAVIS |
| Credential | MD |
| Practice Address |
2900 Hannah Blvd Suite 104 East Lansing MI 48823-5384 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5173638118 |
| Practice Fax Number | 5173648119 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D0066799 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1437275641 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114286481 | Damon C Davis Sr. | Registered Nurse | 360 Mamaroneck Ave, White Plains, NY 10605-1700 | 2012-05-08 |
| 1699003210 | Damon Davis | Clinical Nurse Specialist | 3100 Warrior Ln, Poplar Bluff, MO 63901-8686 | 2009-11-19 |
| 1295795771 | Damon C Davis | Internal Medicine | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2006-03-27 |
| Street Address |
2900 HANNAH BLVD SUITE 104 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990114 | Richard J. Sims | Optometrist | 2900 Hannah Blvd, Suite 106, East Lansing, MI 48823-5384 | 2006-04-11 |
| 1568001394 | Andrea Lee Hanna | Nurse Practitioner | 2900 Hannah Blvd, East Lansing, MI 48823 | 2019-12-26 |
| 1558747493 | Amanda Gahsman | Nurse Practitioner | 2900 Hannah Blvd, Suite 114, East Lansing, MI 48823-5384 | 2015-08-03 |
| 1134509987 | Peter Liu | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2015-06-08 |
| 1598145997 | Edward W. Sparrow Hospital Association | Internal Medicine | 2900 Hannah Blvd, Suite B102, East Lansing, MI 48823-5384 | 2015-06-02 |
| 1770919649 | Amanda Mason | Physician Assistant | 2900 Hannah Blvd, Suite 216, East Lansing, MI 48823-5384 | 2013-09-23 |
| 1538403613 | Richard Paul Lieske | Counselor | 2900 Hannah Blvd, Suite B-107, East Lansing, MI 48823-5384 | 2012-11-15 |
| 1841553229 | Kristen Drury | Specialist/Technologist | 2900 Hannah Blvd, Suite B-102, East Lansing, MI 48823-5384 | 2012-06-20 |
| 1083982748 | Edward W. Sparrow Hospital Association | Surgery | 2900 Hannah Blvd, Suite 216, East Lansing, MI 48823-5384 | 2011-12-09 |
| 1225364359 | Christina S Inman | Nurse Practitioner | 2900 Hannah Blvd, Suite 114, East Lansing, MI 48823-5384 | 2009-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1568455566 | Joseph Aqualina | Urology | 6275 Mereford Ct, East Lansing, MI 48823-9213 | 2005-08-24 |
| 1134509987 | Peter Liu | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2015-06-08 |
| 1619380334 | Colton C Prudnick | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2014-06-10 |
| 1235565151 | Lansing Institute of Urolgoy | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2013-09-24 |
| 1285803627 | William Britt Zimmerman | Urology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2008-02-28 |
| 1306878269 | David Don Wartinger | Urology | 2900 Hannah Blvd, Ste 215, East Lansing, MI 48823-5384 | 2006-07-07 |
| 1679500425 | Shirley Ann Harding | Urology | 2900 Hannah Blvd, Ste 104, East Lansing, MI 48823-5384 | 2006-06-27 |
| 1619911690 | Donald P Bartkowski | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| 1669771507 | Mazen Abdelhady | Urology | 6001 W Outer Dr Ste 350, Detroit, MI 48235-2686 | 2011-03-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.