DR. WILLIE BOB DAVIS (NPI# 1659376952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659376952 |
| Entity Type | Individual |
| Full Name | DR. WILLIE BOB DAVIS |
| Credential | ME |
| Practice Address |
20333 W 151st St Olathe KS 66061-5350 |
| Mailing Address |
5800 Foxridge Dr Ste 240 Mission KS 66202-2338 |
| Practice Telephone | 9137914408 |
| Practice Fax Number | 9137914438 |
| Mailing Telephone | 9132613153 |
| Mailing Fax Number | 9132623295 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MO R5059 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | KS 04-17213 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R5059 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
04-17213 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201018322 | 05 | |
| KS | 10001780C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120257 | Willie Davis | Specialist/Technologist, Other | 15 Daisy Place, Buffalo, NY 14208 | 2015-12-04 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| 1366524894 | Willie Ray Davis | Specialist | 11844 Bandera Road, 276, Helotes, TX 78023-4132 | 2006-10-20 |
| 1750847224 | Willie Davis | Case Manager/Care Coordinator | 201 Morris Ave, Monroe, LA 71202-2067 | 2019-02-20 |
| 1336565340 | Willie Davis | Counselor | 583 W Gaines St, Monticello, AR 71655-4637 | 2014-03-14 |
| 1407157266 | Willie Michael Davis | Hearing Instrument Specialist | 1498 E Main St, Suite No. 108, Cottage Grove, OR 97424-2204 | 2010-11-10 |
| Street Address |
20333 W 151ST ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274184 | Howard Martin Cloogman | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2005-06-13 |
| 1710508403 | Maureen Mae Graham | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-7211 | 2020-05-04 |
| 1396379178 | Ashley Rose Beaner | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-03-02 |
| 1174157432 | Ryan Andrew Ellison | Dietitian, Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-02-26 |
| 1659905974 | Shellie Anne Brandt | Nurse Practitioner | 20333 W 151st St, Olathe, KS 66061-5350 | 2020-02-25 |
| 1588229256 | Angela Ellis | Nurse Anesthetist, Certified Registered | 20333 W 151st St, Olathe, KS 66061-5350 | 2019-05-07 |
| 1144703042 | Courtney Tafreshi | Physician Assistant | 20333 W 151st St, Olathe, KS 66061-5350 | 2018-09-07 |
| 1326548710 | Olathe Health Physicians, Inc. | Psychiatry & Neurology | 20333 W 151st St, Olathe, KS 66061-5350 | 2018-02-13 |
| 1699208447 | Joshua Abernathy | Emergency Medicine | 20333 W 151st St, Olathe, KS 66061-5350 | 2017-04-08 |
| 1699226118 | Gina Lynn Navia-brozenic | Nurse Practitioner | 20333 W 151st St, Olathe, KS 66061-5350 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134467210 | Richard Roy Nixon | Radiology | 26671 W 108th Ter, Olathe, KS 66061-7497 | 2013-01-23 |
| 1649274184 | Howard Martin Cloogman | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2005-06-13 |
| 1306161237 | Ricki Upendra Shah | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2010-04-04 |
| 1508063660 | Curtis Trigueiro Selser | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-06-29 |
| 1972729226 | Brian Arthur Fletcher | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-04-17 |
| 1265656979 | Amy Patricia Oberhelman | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-04-12 |
| 1609997121 | Nathan Johnson | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-04-02 |
| 1790838407 | Nathaniel Ryan Jewell | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-01-18 |
| 1194826016 | Vandana Halder | Radiology | 20333 W 151st St, Olathe, KS 66061 | 2006-09-25 |
| 1497728422 | Michael Brian Robertson | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2006-02-09 |
| Find all providers in OLATHE | ||||
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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.