DR. JOHN MATTISON DAVIS


Address: 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423
Phone: 5025898615

DR. JOHN MATTISON DAVIS (NPI# 1700857620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700857620
Entity Type Individual
Full Name DR. JOHN MATTISON DAVIS
Credential M.D.
Practice Address 101 W Muhammad Ali Blvd
Louisville
KY 40202-1423
Practice Telephone 5025898615
Practice Fax Number 5025898769
Mailing Telephone 5025898615
Mailing Fax Number 5025898769
Enumeration Date 2006-01-30
Last Update Date 2011-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
42336 KY Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
01054463A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY RR MEDICARE P00872494 01
KY 7100127820 05

Other Providers JOHN DAVIS

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1740811488 John Leslie Davis Pharmacist 5208 Ellen Jayne Way, Midland, TX 79707-1613 2020-01-31
1114402161 John A Davis Hearing Instrument Specialist 216 Phoenix Ct Ste C, Seymour, TN 37865-3914 2018-09-26
1790273720 John Patrick Davis Counselor 10 E New York Ave Ste 1, Somers Point, NJ 08244-2367 2018-04-25
1154821049 John Davis Case Manager/Care Coordinator 627 Bailey Chapel Rd, Piketon, OH 45661-9675 2018-02-16
1619487386 John E Davis Counselor 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 2017-10-06
1093234684 John Davis Dentist 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 2017-09-14
1306384276 John Chase Davis Behavior Technician 8315 6th Pl Se, Lake Stevens, WA 98258-3688 2017-02-10
1598170276 John Davis Licensed Practical Nurse 10271 Dresden Rd, Dresden, OH 43821-9446 2014-06-21
1396174751 John Davis Sr. Registered Nurse 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 2013-11-06

Office Location

Street Address 101 W MUHAMMAD ALI BLVD
City LOUISVILLE
State KY
Zip Code 40202-1423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417348335 Lashawnda Ogle Counselor 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2015-02-13
1881098275 Tara Villars Counselor 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-10-15
1134537616 Sandra Powell Case Manager/Care Coordinator 101 W Muhammad Ali Blvd, Magazine Street Location, Louisville, KY 40202-1423 2014-07-28
1225444359 Michele Isham Case Manager/Care Coordinator 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-07-09
1972919371 Christopher Thompson Licensed Practical Nurse 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-07-07
1518373364 Damon Watts Counselor 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-07-01
1720493810 Leisia Kristina Landers Social Worker 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-06-26
1124432620 Erica Wiley Social Worker 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 2014-06-12
1033539481 Elissa White Licensed Practical Nurse 101 W Muhammad Ali Blvd, Louisville, KY 40202-1954 2014-04-24
1003233362 George Jeremy Ramser Case Manager/Care Coordinator 101 W Muhammad Ali Blvd, Louisville, KY 40202-1954 2014-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821637125 Ocean Behavioral Healthcare LLC Psychiatry & Neurology 310 E Broadway Ste 102, Louisville, KY 40202-1745 2020-01-03
1023445913 Your Psychological Needs, Inc. Psychiatry & Neurology 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 2013-10-09
1326393877 Alexis M. Guerrero Psychiatry & Neurology 907 Rugby Pl, Louisville, KY 40222-5641 2012-07-20
1417210824 Teresa Walker Psychiatry & Neurology 2910 W Jefferson St, Louisville, KY 40212-1771 2012-06-20
1235496191 Kari Kristiane Dubosque Psychiatry & Neurology 10608 Gleneagle Pl, Louisville, KY 40223-2667 2012-04-17
1376823443 Frederick Allen Walker Psychiatry & Neurology 11405 Park Rd Ste 160, Louisville, KY 40223-2427 2011-08-22
1770872798 Caroline Amanda Mcdonald Psychiatry & Neurology 323 E Chestnut St, Louisville, KY 40202-1823 2011-03-30
1942444948 Kenneth Scott Davis Psychiatry & Neurology 1837 Edenside Ave, Louisville, KY 40204-1521 2009-04-22
1912195223 Anthony J Siegel Psychiatry & Neurology 4401 Louise Underwood Way, Louisville, KY 40216-3986 2007-10-11
1700072287 Ora Frankel Psychiatry & Neurology 2327 Lime Kiln Ln Ste A, Louisville, KY 40222-3422 2007-09-19
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40202

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Dataset Information

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.

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