MATTHEW R DAVIS (NPI# 1497949036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497949036 |
| Entity Type | Individual |
| Full Name | MATTHEW R DAVIS |
| Credential | ATC |
| Practice Address |
610 W Main St Wilmington OH 45177-2125 |
| Mailing Address |
1111 Deerfield Rd Unit 402 Lebanon OH 45036-7113 |
| Practice Telephone | 9373837722 |
| Mailing Telephone | 5132822155 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-000991 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088054 | Matthew John Davis | Dentist | 502 Us Highway 70 W, Havelock, NC 28532-9510 | 2020-03-16 |
| 1881177517 | Matthew Davis | Contractor | 2612 Goodes Bridge Rd Ste A, North Chesterfield, VA 23224-2567 | 2018-09-10 |
| 1477908838 | Matthew Davis | Contractor | 6124 E 22nd Ave, Anchorage, AK 99504-3214 | 2016-05-04 |
| 1760890438 | Matthew Davis | Registered Nurse | 2464 Mczand Blvd, Grove City, OH 43123-1461 | 2014-07-25 |
| 1508289000 | Matthew Lay Davis | Durable Medical Equipment & Medical Supplies | 73 Glenway Pl, Brandon, MS 39042-2530 | 2014-02-04 |
| 1639475346 | Matthew William Davis | Urology | 576 Fifth Ave, Suite 903, New York, NY 10036 | 2011-01-28 |
| 1003146317 | Matthew Lee Davis | Nurse Anesthetist, Certified Registered | 5701 Stratford Lane, Lakeland, FL 33813 | 2010-01-08 |
| 1467788356 | Matthew James Davis | Massage Therapist | 549 W Katelyn Ln, Spokane, WA 99224-8452 | 2009-10-27 |
| 1982938999 | Matthew Davis | Counselor | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2009-09-23 |
| 1447403811 | Matthew John Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-10-29 |
| Street Address |
610 W MAIN ST |
| City | WILMINGTON |
| State | OH |
| Zip Code | 45177-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329890 | Professional Emergency Specialists of Southern Ohio | Emergency Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2006-01-05 |
| 1881200475 | Adfinitas Health of Ohio, LLC | Hospitalist | 610 W Main St, Wilmington, OH 45177-2194 | 2020-09-18 |
| 1194265728 | Assurance Health Wilmington, LLC | Psychiatric Unit | 610 W Main St, Wilmington, OH 45177-2125 | 2017-03-01 |
| 1952858797 | Kyle Fenner | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-09-09 |
| 1326594748 | Blaine Hill Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1396291720 | Good River Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1730632100 | Lurajean Cravens | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-02 |
| 1194177865 | Melissa Storer | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-07-06 |
| 1831571009 | Syed T Ahsan | Internal Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2015-06-24 |
| 1780071696 | Benjamin Herendeen | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2015-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
| 1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
| 1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
| 1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
| 1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
| Find all providers in zip 45177 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1457969883 | Anthony J Corona | Specialist/Technologist | 4206 Winding Branches Dr, Wilmington, NC 28412-2339 | 2020-07-22 |
| 1366076127 | Catherine Ann Olivia Broadway | Specialist/Technologist | 1619 W 10th St, Wilmington, DE 19805-2771 | 2020-03-02 |
| 1528691334 | Madison Nicole Love | Specialist/Technologist | 2600 Majestic Dr, Wilmington, DE 19810-2443 | 2020-02-20 |
| 1942850912 | Alessia Pesaturo | Specialist/Technologist | 15 Green Meadow Dr, Wilmington, MA 01887-4617 | 2019-09-12 |
| 1124585518 | Olivia Marie Donahue | Specialist/Technologist | 2506 Alister Dr, Wilmington, DE 19808-3308 | 2019-02-21 |
| 1275090755 | Jerry Slawson | Specialist/Technologist | 412 W Champlain Ave, Wilmington, DE 19804-2014 | 2019-02-21 |
| 1518436294 | Dyshon Marlon Carr | Specialist/Technologist | 619 S Kerr Ave Apt 103, Wilmington, NC 28403-8423 | 2018-11-25 |
| 1447733654 | Shannon Ehart | Specialist/Technologist | 607 W 39th St, Wilmington, DE 19802-2034 | 2018-09-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 45177 |
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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.