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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | RR MEDICARE | P00872494 | 01 |
KY | 7100127820 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750905808 | John Howard Davis | Peer Specialist | 540 W Wallace St, Shawnee, OK 74801-5722 | 2020-06-04 |
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 |
Street Address |
101 W MUHAMMAD ALI BLVD |
City | LOUISVILLE |
State | KY |
Zip Code | 40202-1423 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40202 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
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 |
City | LOUISVILLE |
Zip Code | 40202 |
Please comment or provide details below to improve the information on DR. JOHN MATTISON 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.