OWEN DAVIS (NPI# 1720447386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720447386 |
Entity Type | Individual |
Full Name | OWEN DAVIS |
Practice Address |
701 Doctors Dr Suite G Kinston NC 28501-1589 |
Practice Telephone | 2525224446 |
Practice Fax Number | 2525224484 |
Mailing Telephone | 2525224446 |
Mailing Fax Number | 2525224484 |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-06275 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952491136 | Owen Davis | Obstetrics & Gynecology | 505 E 70th St # Ht-370, New York, NY 10021-4872 | 2006-10-16 |
Street Address |
701 DOCTORS DR SUITE G |
City | KINSTON |
State | NC |
Zip Code | 28501-1589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407852353 | Mark D Marilley | Internal Medicine | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2005-06-24 |
1740716059 | Carolina Orthopedic and Sports Medicine, Inc - Kinston | Orthopaedic Surgery | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2017-05-05 |
1366895880 | Lenoir Physicians Network, LLC | Obstetrics & Gynecology | 701 Doctors Dr, Suite E1, Kinston, NC 28501-1589 | 2016-07-20 |
1104220300 | Lenoir Physicians Network LLC | Psychiatry & Neurology | 701 Doctors Dr, Suite E2, Kinston, NC 28501-1589 | 2014-10-16 |
1871993063 | Lenoir Physicians Network LLC | Urology | 701 Doctors Dr, Suite L, Kinston, NC 28501-1589 | 2014-08-26 |
1407269426 | Victoria Conway | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2014-06-06 |
1962823039 | Dempsey's Long Term Care, LLC | Pharmacy | 701 Doctors Dr, Suite P-2, Kinston, NC 28501-1589 | 2013-12-17 |
1376980482 | Mallory Conway Tucker | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2013-05-30 |
1639414915 | Kinston Clinic Pharmacy | Pharmacy | 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 | 2012-11-28 |
1548512189 | Miranda Grady Hill | Pharmacist | 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 | 2012-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
Find all providers in zip 28501 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
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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.