CARLY RAE DAVIS (NPI# 1801121108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801121108 |
Entity Type | Individual |
Full Name | CARLY RAE DAVIS |
Credential | M.D. |
Practice Address |
12391 S 4000 W Riverton UT 84096-7012 |
Practice Telephone | 8013021700 |
Mailing Telephone | 8013021700 |
Enumeration Date | 2009-10-05 |
Last Update Date | 2015-12-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 7996415-1205 | UT | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | R70650 | AZ | Allopathic & Osteopathic Physicians |
N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
7996415-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679031504 | Carly Davis | Physical Therapist | 2707 Vine St Ste 1, Hays, KS 67601-1907 | 2019-03-11 |
1265910475 | Carly Louderback Davis | Nurse Practitioner | 210 Gilbert Rd, Ringgold, GA 30736-2724 | 2018-07-31 |
1447740220 | Carly Nicole Davis | Dietitian, Registered | 414 E Capitol Ave Apt 313, Little Rock, AR 72202-2478 | 2018-05-16 |
1306357744 | Carly Morey Davis | Case Manager/Care Coordinator | 608 Wright Ave, Alma, MI 48801-1617 | 2017-10-12 |
1053657072 | Carly Davis | Pharmacist | 6900 S Yosemite St, Centennial, CO 80112-1418 | 2012-12-19 |
1720330210 | Carly Marie Davis | Speech-Language Pathologist | 4028 Holcomb Bridge Rd, Ste 202, Norcross, GA 30092-4655 | 2012-10-08 |
1417116062 | Carly Higgins Davis | Obstetrics & Gynecology | 2854 S 11th St, Kalamazoo, MI 49009-2129 | 2008-06-07 |
Street Address |
12391 S 4000 W |
City | RIVERTON |
State | UT |
Zip Code | 84096-7012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265403463 | William Benjamin Warner | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2006-01-27 |
1649755349 | Joshua Streeter | Nurse Practitioner | 12391 S 4000 W, Riverton, UT 84096-7012 | 2018-09-27 |
1326436007 | Mike Black | Physical Therapist | 12391 S 4000 W, #210, Riverton, UT 84096-7012 | 2015-01-02 |
1225446263 | Apex Dental Draper LLC | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2014-07-22 |
1467735621 | Brandon James Hansen | Physician Assistant | 12391 S 4000 W, Riverton, UT 84096 | 2011-09-23 |
1063742492 | Apex Family & Cosmetic Dentistry | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2010-01-07 |
1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
1538321237 | Jeremy Paul Gerritsen | Optometrist | 12391 S 4000 W, Riverton, UT 84096-7012 | 2008-06-25 |
1649455403 | Daniel Todd Richards | Orthopaedic Surgery | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-12-29 |
1386825024 | Craig Alan Coleby | Internal Medicine | 12391 S 4000 W, Suite 100, Riverton, UT 84096-7012 | 2007-11-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
Find all providers in zip 84096 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851609564 | Pediatric Inpatient Services Riverton | Pediatrics | 3741 W 126000 S, Riverton, UT 84065 | 2010-09-15 |
1417101296 | Sadie M West | Pediatrics | 3723 West 12600 South, Suite 450, Riverton, UT 84065 | 2008-11-06 |
1164633715 | Stasha S Lewis | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065-7296 | 2007-05-25 |
1316920770 | Shellie J Ring | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2005-11-21 |
1255793824 | Jennifer Mijer | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2016-03-23 |
1043671985 | University of Utah Pediatric Services | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-03-18 |
1073907119 | Melissa Mays Kadish | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065 | 2015-03-26 |
1528452612 | Jenna Whitham | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2015-03-26 |
1386987055 | Katherine Wingate Quayle | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2013-04-01 |
1649541699 | Granger Medical Clinic, PC | Pediatrics | 1288 W 12700 S, Riverton, UT 84065-6794 | 2012-01-23 |
Find all providers in RIVERTON |
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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.