DR. DREW MICHAEL DAVIDSON (NPI# 1760894323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760894323 |
| Entity Type | Individual |
| Full Name | DR. DREW MICHAEL DAVIDSON |
| Credential | DPM |
| Practice Address |
255 Sw Brookside Dr Ste 200 Grimes IA 50111-5244 |
| Mailing Address |
255 Sw Brookside Dr Ste 200 Grimes IA 50111-5244 |
| Practice Telephone | 5155006568 |
| Practice Fax Number | 5153936171 |
| Mailing Telephone | 5155006568 |
| Mailing Fax Number | 5152068371 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 086108 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0125134 | 05 | |
| IA | 2207464 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Duff Avenue, Ames, IA 500103014 | 5152394586 | 5159564045 |
| Street Address |
255 SW BROOKSIDE DR STE 200 |
| City | GRIMES |
| State | IA |
| Zip Code | 50111-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483765 | Premier Foot & Ankle Surgeons of Iowa Pllc | Clinic/Center | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1235158452 | Amanda Jorgensen | Dentist | 100 Sw Brookside Dr, Grimes, IA 50111 | 2006-07-19 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| Find all providers in zip 50111 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| 1740591726 | Advanced Podiatry, Inc. | Podiatrist | 1320 11th St Nw Ste F, Clinton, IA 52732-5069 | 2010-06-24 |
| Find all providers with the same taxonomy | ||||
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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.