CASEY LEIGH DAVIS (NPI# 1710201272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710201272 |
| Entity Type | Individual |
| Full Name | CASEY LEIGH DAVIS |
| Credential | PA-C |
| Practice Address |
2325 Dougherty Ferry Rd Ste 100 Saint Louis MO 63122-3356 |
| Mailing Address |
2325 Dougherty Ferry Rd Suite 100 Saint Louis MO 63122-3356 |
| Practice Telephone | 3149091359 |
| Practice Fax Number | 3149091370 |
| Mailing Telephone | 3149091359 |
| Mailing Fax Number | 3149091370 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 085.003693 | IL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 2011030386 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085.003693 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2011030386 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912489261 | Casey Lynn Davis | Nurse Practitioner | 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 | 2018-09-04 |
| 1740601533 | Casey Lynn Davis | Registered Nurse | 802 Meadow Village Dr, Butler, PA 16001-1453 | 2013-12-20 |
| 1912548322 | Casey Davis | Nurse Practitioner | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-10-07 |
| 1598287526 | Casey Davis | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-07-11 |
| 1013305747 | Casey Leann Davis | Psychologist | 43130 Amberwood Plz, Suite 140, South Riding, VA 20152-4105 | 2015-01-05 |
| 1215293154 | Casey A Davis | Physical Therapist | 2536 Highway 49 E, Suite 130, Pleasant View, TN 37146-7159 | 2012-04-04 |
| 1558633206 | Casey Glasgow Davis | Physical Therapist | 2575 Airline Dr, Bossier City, LA 71111-5812 | 2012-01-27 |
| 1558682385 | Casey Davis | Emergency Medicine | 830 Rockford St, Mount Airy, NC 27030 | 2010-06-16 |
| 1134373475 | Casey Lynn Davis | Social Worker | 122 Weber St, Baltimore, MD 21230-4106 | 2008-11-13 |
| 1942233846 | Casey Aaron Davis | Physician Assistant | 200 Memorial Ave, Westminster, MD 21157-5726 | 2006-07-07 |
| Street Address |
2325 DOUGHERTY FERRY RD STE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548231210 | Kevin Douglas Rutz | Orthopaedic Surgery | 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 | 2006-01-30 |
| 1265941611 | Paxtecum Health LLC | Clinic/Center | 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 | 2017-09-28 |
| 1518327469 | Christie Anna Nguyen | Physician Assistant | 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314715 | Rebecca May Palis | Physician Assistant | 1 Childrens Pl Ste 4s, Ste 4s, Saint Louis, MO 63110-1002 | 2008-04-25 |
| 1528245529 | Darlene F Bry | Physician Assistant | 1108 Olive St, Saint Louis, MO 63101-1922 | 2008-01-22 |
| 1811039969 | Rebecca G Adams | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2007-02-13 |
| 1255899316 | Mckenna E Roberts | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2019-03-07 |
| 1417445941 | Madeleine A Garman | Physician Assistant | 3015 N Ballas Rd, Saint Louis, MO 63131-2374 | 2018-04-30 |
| 1265938633 | Ella Kathleen Barber | Physician Assistant | 845 N New Ballas Ct Ste 200, Saint Louis, MO 63141-7169 | 2018-04-03 |
| 1780193300 | Rebecca Hruska | Physician Assistant | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2017-09-26 |
| 1275078339 | Anne Elizabeth Robinson | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1548705601 | Renee Suzanne Kertz | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1437691540 | Danielle Getsee | Physician Assistant | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-11-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on CASEY LEIGH 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.