DR. PHILLIP ROMAN DAVIS (NPI# 1508419623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508419623 |
Entity Type | Individual |
Full Name | DR. PHILLIP ROMAN DAVIS |
Credential | PHARMD |
Practice Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
Mailing Address |
1033 Girard Blvd Ne Albuquerque NM 87106-2014 |
Practice Telephone | 5059135707 |
Practice Fax Number | 5059136452 |
Mailing Telephone | 2625011907 |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208U00000X | Clinical Pharmacology | RP00008957 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | PHARMACIST LICENSE NUMBER | RP00008957 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356997209 | Phillip Davis Sr. | Non-emergency Medical Transport (VAN) | 11468 Club Dr, Chapel Hill, NC 27517-9512 | 2019-08-16 |
1518263037 | Phillip Lee Davis | Counselor | 120 N Highway 1, Birmingham, IA 52535-7700 | 2011-01-31 |
1508852476 | Phillip G Davis | Internal Medicine | 7560 Winkler Rd, Fort Myers, FL 33908-4159 | 2005-09-26 |
1629324108 | Phillip H. Davis | Registered Nurse | 1477 Hylan Blvd, Staten Island, NY 10305-1906 | 2012-08-02 |
1073703203 | Phillip Lawrence Davis | Physical Therapist | 611 S Congress Ave, Ste 205, Austin, TX 78704-1729 | 2007-07-25 |
1457390593 | Phillip J Davis | Emergency Medicine | 1414 S Orange Ave, Orlando, FL 32806-2134 | 2006-06-05 |
1124092192 | Phillip Dennis Davis | Physician Assistant | 1849 Old Donation Pkwy, Virginia Beach, VA 23454 | 2006-02-15 |
Street Address |
455 SAINT MICHAELS DR |
City | SANTA FE |
State | NM |
Zip Code | 87505-7601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124021233 | Bryan W Goss | Radiology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2005-05-23 |
1194324996 | Ashley Dawn Powell | Pharmacist | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-22 |
1356949549 | Leo Santos | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-11 |
1538772751 | Audrea Nicole Nolan | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
1912510165 | Antonio Samuel Gervais | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
1326664939 | Jesse August Schedler | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-06-19 |
1154945830 | Brett Elliff | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-29 |
1275156275 | Christopher Parrish | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-26 |
1255971453 | Juliana Ramos | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-01-15 |
1134766512 | Ying Xiong | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-12-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
Find all providers in zip 87505 |
Taxonomy Code | 208U00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Clinical Pharmacology |
Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs. |
Notes: Source: American Society for Clinical Pharmacology and Therapeutics, 2008 [7/1/2008: modified definition] Additional Resources: Clinical pharmacology is a recognized fellowship program for physicians, pharmacists, and post-doctoral researchers delivered through medical education institutions accredited by the American Board of Clinical Pharmacology. http://www.ascpt.org/; American Board of Clinical Pharmacology http://www.abcp.net/ |
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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.