NATHAN W DAVIS DPM PC (NPI# 1679763494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679763494 |
| Entity Type | Organization |
| Organization Name | NATHAN W DAVIS DPM PC |
| Practice Address |
154 Myrtle Ave Suite 201 Murray UT 84107-4849 |
| Practice Telephone | 8017432909 |
| Practice Fax Number | 8012889505 |
| Mailing Telephone | 8017432909 |
| Mailing Fax Number | 8012889505 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | THIA HAMBLIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8017432909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
49208910501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528271194007 | 05 | |
| UT | BLUE CROSS BLUE SHIELD | 49208910503001 | 01 |
| UT | RAILROAD MEDICARE | P00057743 | 01 |
| UT | UNITED HEALTH CARE | 2700110 | 01 |
| UT | ALTIUS | QM000061991 | 01 |
| UT | MEDICAID NEVADA | 002189004 | 01 |
| UT | US DEPT OF LABOR | 123401800 | 01 |
| UT | CIGNA MEDICARE | 418216001 | 01 |
| Street Address |
154 MYRTLE AVE SUITE 201 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353821 | Sean Eric Mcmillan | Internal Medicine | 154 Myrtle Ave, Suite 204, Murray, UT 84107-4833 | 2005-08-22 |
| 1134273485 | Utah Arthritis Clinic PC | Internal Medicine | 154 Myrtle Ave, Suite 204, Murray, UT 84107-4833 | 2007-01-23 |
| 1841240330 | Don L Stromquist | Internal Medicine | 154 Myrtle Ave, Suite 204, Murray, UT 84107-4833 | 2006-05-12 |
| 1730165572 | Nathan W Davis | Podiatrist | 154 Myrtle Ave, Suite 201, Murray, UT 84107-4833 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316325590 | Daniel Hansen | Podiatrist | 5801 S Fashion Blvd Ste 120, Murray, UT 84107 | 2015-05-08 |
| 1295221869 | Christopher Kiser | Podiatrist | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2018-07-07 |
| 1245734581 | Richard Luke Jones | Podiatrist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2018-03-21 |
| 1629371307 | K2 Foot and Ankle Pllc | Podiatrist | 5770 S 250 E, Suite #415, Murray, UT 84107-8100 | 2010-12-17 |
| 1730165572 | Nathan W Davis | Podiatrist | 154 Myrtle Ave, Suite 201, Murray, UT 84107-4833 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
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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.