DAVIS ENDOCRINOLOGY AND DIABETES LLC (NPI# 1538445820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538445820 |
| Entity Type | Organization |
| Organization Name | DAVIS ENDOCRINOLOGY AND DIABETES LLC |
| Practice Address |
1492 W Antelope Dr Suite 115 Layton UT 84041-1139 |
| Mailing Address |
Po Box 268 Bountiful UT 84011-0268 |
| Practice Telephone | 8017768080 |
| Practice Fax Number | 8017762888 |
| Mailing Telephone | 8012962113 |
| Mailing Fax Number | 8012861715 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | DR. KHALDOUN M AL-RAYESS (CEO / OWNER) |
| Authorized Official Telephone | 8017768080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
5804089-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1492 W ANTELOPE DR SUITE 115 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452383 | Karen Boheen | Obstetrics & Gynecology | 1492 W Antelope Dr, #205, Layton, UT 84041-1139 | 2005-07-21 |
| 1598264624 | Bronda Annelle Kaschmitter | Occupational Therapist | 1492 W Antelope Dr, Layton, UT 84041-1139 | 2018-02-04 |
| 1376082115 | Kade Erickson | Physical Therapist | 1492 W Antelope Dr, Ste 100, Layton, UT 84041-1139 | 2017-02-13 |
| 1902263825 | Oakstead Infusion Pharmacy, LLC | Home Infusion | 1492 W Antelope Dr, Suite 208, Layton, UT 84041-1139 | 2016-01-22 |
| 1831460757 | Diabetes Specialty Center | Durable Medical Equipment & Medical Supplies | 1492 W Antelope Dr, Layton, UT 84041-1139 | 2012-01-24 |
| 1003124256 | Barbara Morrell Hughes PC | Social Worker | 1492 W Antelope Dr, Suite #250, Layton, UT 84041-1139 | 2010-09-22 |
| 1922230770 | Dominika Gabriela Janowski | Internal Medicine | 1492 W Antelope Dr, 203, Layton, UT 84041-1139 | 2009-08-12 |
| 1952535106 | University Hospital | Clinic/Center | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1139 | 2009-05-02 |
| 1235395377 | University of Utah Hospitals and Clinics | Optometrist | 1492 W Antelope Dr, Ste. 150, Layton, UT 84041-1139 | 2008-07-29 |
| 1366602484 | Randall W Erickson | Physical Therapist | 1492 W Antelope Dr, Ste 100, Layton, UT 84041-1139 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808122 | Khaldoun M Al-rayess | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-08-16 |
| 1386183838 | Kelly Presnell | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2017-02-16 |
| 1649615873 | Steven Lee Brown | Internal Medicine | 2121 N 1700 W, Layton, UT 84041 | 2013-05-01 |
| 1295983831 | Brett Michael Rawlins | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351278 | Healthy Mind Set Intl Inc | Internal Medicine | 7410 S Creek Rd Ste D100, Sandy, UT 84093-6140 | 2020-06-24 |
| 1700294428 | James Craven | Internal Medicine | 30 N 1900 E Som, Department of Medicine Office of Education, Salt Lake City, UT 84132 | 2014-07-25 |
| 1326203514 | Mohammed Soubhi Nizam | Internal Medicine | 1055 N 500 W Ste 205, Provo, UT 84604-3305 | 2008-07-28 |
| 1710002605 | Ihc Health Services Inc | Internal Medicine | 348 E 600 S, St George, UT 84770-3949 | 2007-03-20 |
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1588754063 | Debra Lynn Simmons | Internal Medicine | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1033209614 | Eliot Ashby Brinton | Internal Medicine | 421 S Wakara Way Ste 121, Salt Lake City, UT 84108-1244 | 2006-10-13 |
| 1467474676 | Bruce Ryan Brady | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2006-07-24 |
| 1952327173 | Simon J Fisher | Internal Medicine | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2006-07-14 |
| 1417989971 | Alireza Falahati-nini | Internal Medicine | 470 E 3900 S, Suite 200, Salt Lake City, UT 84107 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVIS ENDOCRINOLOGY AND DIABETES LLC.
| 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.