MR. DAVID ROSS DAVENPORT JR. (NPI# 1518981539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518981539 |
| Entity Type | Individual |
| Full Name | MR. DAVID ROSS DAVENPORT JR. |
| Credential | PA |
| Practice Address |
1275 S State St Dover DE 19901-6927 |
| Mailing Address |
193 Wycombe Dr Dover DE 19904-3862 |
| Practice Telephone | 3026781303 |
| Mailing Telephone | 3026782455 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | C5-0000498 | DE | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | C50000498 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DEA | MD1424617 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879797 | David Franklin Davenport | Dentist | 604 S Tyler St, Covington, LA 70433-3346 | 2006-10-25 |
| 1063434991 | David Davenport | Physical Therapist | 7333 Chapman Hwy, Knoxville, TN 37920-6681 | 2006-07-23 |
| 1457357238 | David Davenport | Dentist | 2300 N Craycroft Rd, Ste 3, Tucson, AZ 85712-2808 | 2005-06-25 |
| 1740773969 | David Davenport | Occupational Therapist | 414 N Plant Ave, Plant City, FL 33563-7248 | 2018-06-12 |
| 1295869345 | David R Davenport | Dentist | 306 Stevens Entry, Peachtree City, GA 30269-1325 | 2007-03-14 |
| 1609952720 | David Andrew Davenport Sr. | Psychologist | 101 N Main St, Woodstown, NJ 08098-1225 | 2006-10-31 |
| 1790722700 | David A Davenport | Nurse Anesthetist, Certified Registered | 1034 Grove St, Meadville, PA 16335-2945 | 2006-05-31 |
| 1972572972 | David S Davenport | Internal Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2006-03-14 |
| 1174511919 | David Gregory Davenport | Radiology | 2751 Debarr Rd, Suite 390, Anchorage, AK 99508-2952 | 2005-10-06 |
| 1558353052 | David E Davenport | Radiology | 1204 N Vercler Rd, Ste 101, Spokane Valley, WA 99216-1020 | 2005-08-19 |
| Street Address |
1275 S STATE ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422828 | Bayhealth Medical Center, Inc. | Clinic/Center | 1275 S State St, Dover, DE 19901-6927 | 2005-10-25 |
| 1700324779 | Deanna Price | Registered Nurse | 1275 S State St, Dover, DE 19901-6927 | 2017-02-09 |
| 1508286485 | Ikechi Konkwo | Preventive Medicine | 1275 S State St, Dover, DE 19901-6927 | 2014-04-18 |
| 1568805604 | Lisa M Rossi Mccalister | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2013-04-08 |
| 1386664837 | Sandra Anne Voss | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2006-07-20 |
| 1639105687 | Barbara Ann Vodvarka | Nurse Practitioner | 1275 S State St, Bayhealth Medical Center - Occupational Health, Dover, DE 19901-6927 | 2006-06-23 |
| 1851367957 | Sherel A Ott | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
| 1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
| 1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
| 1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
| 1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
| 1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
| 1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
| 1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
| Find all providers in DOVER | ||||
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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.