DAMON DAVIS (NPI# 1699003210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699003210 |
| Entity Type | Individual |
| Full Name | DAMON DAVIS |
| Credential | AHCNS |
| Practice Address |
3100 Warrior Ln Poplar Bluff MO 63901-8686 |
| Mailing Address |
1269 County Road 468 Poplar Bluff MO 63901-2989 |
| Practice Telephone | 5737279311 |
| Practice Fax Number | 5737850182 |
| Mailing Telephone | 5737782888 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2009033936 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114286481 | Damon C Davis Sr. | Registered Nurse | 360 Mamaroneck Ave, White Plains, NY 10605-1700 | 2012-05-08 |
| 1437275641 | Damon Davis | Urology | 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823-5384 | 2007-03-21 |
| 1295795771 | Damon C Davis | Internal Medicine | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2006-03-27 |
| Street Address |
3100 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609864081 | Helia Healthcare of Poplar Bluff, LLC | Durable Medical Equipment & Medical Supplies | 3100 Warrior Ln, Poplar Bluff, MO 63901-8686 | 2005-10-11 |
| 1972915486 | Julianna Kuper | Social Worker | 3100 Warrior Ln, Poplar Bluff, MO 63901-8686 | 2014-06-02 |
| 1710302989 | Jeri Mcconnell | Case Manager/Care Coordinator | 3100 Warrior Ln, Poplar Bluff, MO 63901-8686 | 2014-02-25 |
| 1073595096 | Mid-south Health Clinic LLC | Clinic/Center | 3100 Warrior Ln, Poplar Bluff, MO 63901-8686 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428943 | Kristi Dawn Skinner | Clinical Nurse Specialist | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2010-06-01 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1295936821 | Patrick Shawn Drummond | Clinical Nurse Specialist | 190 Industrial Dr, Festus, MO 63028-4133 | 2007-05-30 |
| 1053470302 | Frances Sheller Stous | Clinical Nurse Specialist | 901 Ne Independence Avenue, Lees Summit, MO 64086-5544 | 2006-12-06 |
| 1275611410 | Patricia Lynn Walsh | Clinical Nurse Specialist | 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-02 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1497288971 | Interventional Center for Pain | Clinical Nurse Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2017-04-11 |
| 1215474895 | Susan M. Blum Kratky | Clinical Nurse Specialist | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2017-01-20 |
| 1548711609 | Jackie Dee Faber | Clinical Nurse Specialist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-10-24 |
| 1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on DAMON DAVIS.
| 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.