SCOTT EDWARD DAVIS (NPI# 1518171560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518171560 |
| Entity Type | Individual |
| Full Name | SCOTT EDWARD DAVIS |
| Credential | M.D. |
| Practice Address |
203 Kenova Ave Wayne WV 25570-9795 |
| Mailing Address |
P.o. Box 1680 Huntington WV 25717-1680 |
| Practice Telephone | 3042725136 |
| Mailing Telephone | 3046971396 |
| Mailing Fax Number | 3046972086 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23573 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810015085 | 05 | |
| KY | 7100079340 | 05 | |
| OH | 2989100 | 05 | |
| WV | ANTHEM | 000000642513 | 01 |
| WV | RR MEDICARE | P00767782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1659762540 | Scott Alan Davis | Registered Nurse | 13438 W Orange Ct, Litchfield Park, AZ 85340-6309 | 2015-02-12 |
| 1659633014 | Scott Davis | Counselor | 776 Tranquility Ln, Cedar Hill, TX 75104-3174 | 2012-06-12 |
| 1124276860 | Scott L Davis | Pharmacist | 38 Winslow Dr, Schenectady, NY 12309-3215 | 2008-09-07 |
| 1669674800 | Scott Mitchell Davis | Internal Medicine | Green Mountain Treatment Center, 244 High Watch Road, Effingham, NH 93882 | 2007-06-01 |
| 1124232871 | Scott Murray Davis | Psychiatry & Neurology | 141 Pierce Rd, Highland Park, IL 60035-5326 | 2007-05-10 |
| 1124249685 | Scott Edward Davis | Surgery | 1320 Maricopa Hwy Ste G, Ojai, CA 93023-3154 | 2007-05-01 |
| 1639263072 | Scott D Davis | Dentist | 3315 S Holmes Ave, Idaho Falls, ID 83404 | 2006-10-02 |
| 1124133863 | Scott Hamilton Davis | Family Medicine | 901 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3409 | 2006-08-21 |
| 1467441964 | Scott E Davis | Family Medicine | 915 N Kentucky St, Kingston, TN 37763-2638 | 2005-10-18 |
| Street Address |
203 KENOVA AVE |
| City | WAYNE |
| State | WV |
| Zip Code | 25570-9795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009523 | Michael A Goldman | Counselor | 203 Kenova Ave, Wayne, WV 25570-9795 | 2006-03-29 |
| 1023563921 | Wayne Dental - Valley Health | Dentist | 203 Kenova Ave, Wayne, WV 25570-9795 | 2016-08-20 |
| 1487811832 | Valley Health Systems Inc | Registered Nurse | 203 Kenova Ave, Wayne, WV 25570-9795 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1619582483 | Joanna Wiley | Technician | 612 Wayne Street, Wayne, WV 25570 | 2020-09-09 |
| 1568076859 | Betty Perry | Technician | 3745 Big Branch Rd, Wayne, WV 25570 | 2020-09-03 |
| 1497367106 | Summer Susanna Bias | Technician | 150 Mose Asbury Road, Wayne, WV 25570 | 2020-08-24 |
| 1508475070 | Donnetta Sue Pratt | Case Manager/Care Coordinator | 1066 Little Lynn Creek Road, Wayne, WV 25570 | 2020-07-30 |
| 1508333659 | Tami Renee Harless | Technician | 112 Riverside Drive Dunrovin Estates, Wayne, WV 25570 | 2018-10-26 |
| 1457867137 | Sarah Minnie Skeens | Technician | 1030 Wilson Creek Road, Wayne, WV 25570 | 2017-12-18 |
| 1497261234 | Zelma Rae Toler | Technician | 112 Riverside Drive, Dunrovan Estate, Wayne, WV 25570 | 2017-12-15 |
| 1639684012 | Patricia Sue Adkins | Technician | 881 Toms Crk Rd, Wayne, WV 25570 | 2017-12-07 |
| Find all providers in zip 25570 | ||||
| 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 |
|---|---|---|---|---|
| 1639619125 | William Paterson University of New Jersey (wpunj) | Family Medicine | 358 Hamburg Tpke, Wayne, NJ 07470-2150 | 2017-03-02 |
| 1881019594 | Matthew Evan Bassan | Family Medicine | 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 | 2014-03-04 |
| 1174816227 | Renaissance Medical Management Company | Family Medicine | 489 Devon Park Dr, Suite 306, Wayne, PA 19087-1809 | 2011-05-24 |
| 1609166461 | Steven M Nguyen | Family Medicine | 510 Hamburg Tpke Ste 101, Wayne, NJ 07470-2033 | 2011-04-13 |
| 1467607978 | Omar Hisham Nabulsi | Family Medicine | 516 Hamburg Tpke Ste 5, Wayne, NJ 07470-2063 | 2008-11-25 |
| 1235393513 | Robert German Paris | Family Medicine | 35540 W Michigan Ave, Ste #300, Wayne, MI 48184-1626 | 2008-07-15 |
| 1124169966 | Seth Jeremy Koss | Family Medicine | 950 W Valley Rd Ste 2301, Wayne, PA 19087-1846 | 2007-02-12 |
| 1922192517 | Antoinette Deingeniis | Family Medicine | 468 Parish Drive, Suite 6, Wayne, NJ 07470 | 2006-10-03 |
| 1689609042 | Peter E Rubin, Md PC | Family Medicine | 700 Knox Rd, Wayne, PA 19087-2044 | 2006-07-12 |
| 1043247786 | Seymour Schlossberg | Family Medicine | 2 Mayfair Dr, Wayne, NJ 07470-3703 | 2006-06-27 |
| Find all providers in WAYNE | ||||
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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.