MR. CHARLES FRANCIS DAVIS JR. (NPI# 1477512580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477512580 |
| Entity Type | Individual |
| Full Name | MR. CHARLES FRANCIS DAVIS JR. |
| Credential | M.ED. |
| Practice Address |
501 Crescent St New Haven CT 06515-1330 |
| Mailing Address |
61 Grandview Ave Wallingford CT 06492-4628 |
| Practice Telephone | 2033926090 |
| Practice Fax Number | 2033926093 |
| Mailing Telephone | 2032941446 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
501 CRESCENT ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526227 | Dana Marie Stournaras | Nurse Practitioner | 501 Crescent St, New Haven, CT 06515-1330 | 2020-07-24 |
| 1609418151 | Max Spielman | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2019-10-16 |
| 1881236339 | Lauren Anne Borsavage | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2019-10-16 |
| 1144862699 | Meaghan Kelley | Student in an Organized Health Care Education/Training Program | 501 Crescent St, New Haven, CT 06515-1330 | 2019-10-16 |
| 1124677844 | Bailey Shaffer | Student in an Organized Health Care Education/Training Program | 501 Crescent St, New Haven, CT 06515-1330 | 2019-09-05 |
| 1043715469 | Sean Patrick O'connor | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1355 | 2018-03-27 |
| 1659873859 | Emily Morgan Badal | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2018-03-02 |
| 1528560919 | Ronald A Vargas | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2018-03-01 |
| 1013418557 | Cassidy Elm | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2018-02-21 |
| 1386145738 | Emmalee Monica Caisse | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891183 | Gardy Theodore | Specialist/Technologist | 546 S Broad St Ste 2f, Meriden, CT 06450-6601 | 2020-08-10 |
| 1457996829 | Krista Karch | Specialist/Technologist | 32 Stanford Hill Rd, Essex, CT 06426-1431 | 2019-11-09 |
| 1548223696 | James William Doran Jr. | Specialist/Technologist | 2095 Hillside Rd, Unit 3078, Storrs, CT 06269-3078 | 2006-04-10 |
| 1558409672 | Karin Kupperschmidt | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1790823821 | Patricia Macary | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1851438485 | Jackie Bouchard | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-01-31 |
| 1295807063 | Sarah Macseain | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-11-15 |
| 1356434815 | Robyn Demarco | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-10-02 |
| 1720015043 | Erin Lewis | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
| 1639106958 | Julie Rosenblum | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
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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.