MARK DAVIS (NPI# 1720286370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720286370 |
| Entity Type | Individual |
| Full Name | MARK DAVIS |
| Credential | MD |
| Practice Address |
1 Innovation Dr Ste 3 Worcester MA 01605-4306 |
| Mailing Address |
701 Avalon Way Shrewsbury MA 01545-7805 |
| Practice Telephone | 5087936290 |
| Mailing Telephone | 9136208491 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
9406852 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225250 | Mark N Davis | Psychologist | 1479 Oak Ridge Dr, Chico, CA 95928-8856 | 2019-10-04 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1336599588 | Mark Randall Davis | Specialist/Technologist | 1437 6th Street Cir Nw, Hickory, NC 28601-5255 | 2016-06-20 |
| 1891104865 | Mark Davis | Home Health Aide | 1916 Millgate Rd, Anderson, SC 29621-2936 | 2014-08-04 |
| 1457786998 | Mark Henderson Davis | Social Worker | 5384 Street Ne, Community Options Fridley, Fridley, MN 55421 | 2013-09-03 |
| 1699114082 | Mark David Davis | Behavioral Analyst | 12420 S Ridgeland Ave, Palos Heights, IL 60463-1858 | 2013-06-18 |
| 1376813808 | Mark Stephen Davis | Specialist | 4453 Mount Paran Pkwy Nw, Atlanta, GA 30327-3721 | 2011-12-30 |
| 1295053254 | Mark Davis | Pharmacist | 4185 Washington Rd, Mc Murray, PA 15317-2522 | 2010-05-13 |
| 1194968826 | Mark Anthony Davis | Driver | 448 E 272nd St, Euclid, OH 44132-1730 | 2009-04-10 |
| 1750542460 | Mark Alan Davis Sr. | Counselor | 147 Bryn Mawr Ave, Lansdowne, PA 19050-1806 | 2008-06-24 |
| Street Address |
1 INNOVATION DR STE 3 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782962 | Sara Julie Fine | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2019-04-01 |
| 1043770688 | Anup Jnawali | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2019-03-20 |
| 1841789948 | Sindha Thomas Madhav | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2018-05-03 |
| 1235652223 | Fedaa Najdawi | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2017-07-21 |
| 1164807426 | Chibuike Leonard Enwereuzo | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 3, Worcester, MA 01605 | 2015-07-28 |
| 1235492513 | Qingqing Liu | Pathology | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2012-06-21 |
| 1538480280 | Steven Goodman | Pathology | 1 Innovation Dr Ste 3, Pathology Residency, Worcester, MA 01605-4306 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629464334 | Stephanie Petkiewicz | Pathology | 1 Innovation Dr, Biotech 3, Worcester, MA 01605-4307 | 2015-04-09 |
| 1316332398 | Hiba Ibrahim | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-06 |
| 1861819716 | Jennifer L. Clark | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-03-27 |
| 1154754372 | Ali Sakhdari | Pathology | 1 Innovation Dr, Biotech 3, Worcester, MA 01605-4307 | 2013-08-12 |
| 1235492513 | Qingqing Liu | Pathology | 1 Innovation Dr Ste 3, Worcester, MA 01605-4306 | 2012-06-21 |
| 1740541051 | Amy G Zhou | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2012-06-04 |
| 1568723864 | Rebecca E Dedrick | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2012-06-04 |
| 1427336056 | Parnian Ahmadi Moghaddam | Pathology | 1 Innovation Dr, Biotech 3, Worcester, MA 01605-4307 | 2011-08-01 |
| 1346534609 | Wei Xing | Pathology | 1 Innovation Dr, Biotech 3, Worcester, MA 01605-4307 | 2011-06-04 |
| 1093006918 | Minoti Magotra | Pathology | 1 Innovation Dr, Biotech 3, Worcester, MA 01605-4307 | 2011-04-26 |
| Find all providers in WORCESTER | ||||
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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.