CHRISTOPHER C DAVIS (NPI# 1659457281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659457281 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER C DAVIS |
| Credential | PA-C |
| Practice Address |
6424 E Broadway Rd Ste 101 Mesa AZ 85206-1750 |
| Mailing Address |
1409 E 2nd Pl Mesa AZ 85203-8109 |
| Practice Telephone | 4804569000 |
| Mailing Telephone | 4802356912 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
3527 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3527 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 186974 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 E Southern Ave, Suite 200, Mesa, AZ 852045045 | 4805458119 | 4808926805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827850 | Christopher Davis | Counselor | 9524 4th Pl, Lorton, VA 22079-2727 | 2020-09-25 |
| 1447882964 | Christopher Davis | Assistant Behavior Analyst | 4015 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2020-02-12 |
| 1568012441 | Christopher Hugh Davis | Counselor | 5800 Heritage Landing Dr Ste E, East Syracuse, NY 13057-9378 | 2019-09-12 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1306366778 | Christopher Davis | Physical Therapy Assistant | 38656 Medical Center Dr Ste B, Palmdale, CA 93551-4483 | 2017-06-26 |
| 1639609951 | Christopher Matthew Davis | Student in an Organized Health Care Education/Training Program | 550 University Blvd # Uh0641, Indianapolis, IN 46202-5149 | 2017-06-19 |
| 1700231412 | Christopher Davis | Student in an Organized Health Care Education/Training Program | 1310 Ne 197th Ave, Camas, WA 98607-9260 | 2016-05-01 |
| 1679936801 | Christopher Lee Davis | Specialist/Technologist | 160 E Jefferson St, Scottsburg, IN 47170-1943 | 2016-04-04 |
| 1538527759 | Christopher Davis | Chiropractor | 20420 W Catawba Ave, Cornelius, NC 28031-5259 | 2016-02-02 |
| 1295105773 | Christopher Lamar Davis | Military Health Care Provider | 3665 Cherry Ridge Blvd, Decatur, GA 30034-5011 | 2015-09-28 |
| Street Address |
6424 E BROADWAY RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1689155673 | Jedidiah Johnson | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2018-08-27 |
| 1033652516 | David Randal Hyatt | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2016-12-01 |
| 1790046399 | Manisha Surendra Raythatha | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-05-31 |
| 1205197829 | Douglas Smoot Lewis | Internal Medicine | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-05-30 |
| 1649536376 | Robert Thomas Crowder Jr. | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-04-06 |
| 1326279738 | Anh Dao | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 | 2009-08-03 |
| 1235364803 | Jared Criddle | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2009-05-26 |
| 1790939502 | Jeffry Christopher Maxwell | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2008-11-06 |
| 1740446582 | Matthew Del Giudice | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962986349 | Amber Lynn Maison | Physician Assistant | 4540 E Baseline Rd Ste 113, Mesa, AZ 85206-4617 | 2018-09-20 |
| 1821549619 | Briana Dawn Johnson | Physician Assistant | 455 N Mesa Dr Ste 16e, Mesa, AZ 85201-5995 | 2016-10-17 |
| 1659741031 | Jared Bevell | Physician Assistant | 844 E 7th Pl, Mesa, AZ 85203-6404 | 2015-09-29 |
| 1649507088 | Klint Layton Webb | Physician Assistant | 3130 E Baseline Rd Ste 103-104, Mesa, AZ 85204-7290 | 2009-11-05 |
| 1194961540 | Jeffrey R Smolin | Physician Assistant | 2034 S Alma School Rd Ste 2, Mesa, AZ 85210-4004 | 2009-01-06 |
| 1235389156 | Tessa M Tibben | Physician Assistant | 4855 E Brown Rd Ste 100, Mesa, AZ 85205-8007 | 2008-09-27 |
| 1639353808 | Brittany S Wheeler | Physician Assistant | 2310 E. Brown Rd, Mesa, AZ 85213 | 2007-12-24 |
| 1891995296 | Kellie M Earle P.a. | Physician Assistant | 4135 So. Power Rd, Suite 129, Mesa, AZ 85212 | 2007-07-23 |
| 1881778348 | Robert James Kalmbach | Physician Assistant | 4850 E Baseline #118, Mesa, AZ 85206 | 2006-10-24 |
| 1336255264 | Greenfield Family Medicine LLC | Physician Assistant | 1244 N. Greenfield Rd., Suite 104, Mesa, AZ 85205 | 2006-08-22 |
| Find all providers in MESA | ||||
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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.