DR. JENNIFER DAVIS (NPI# 1801159264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801159264 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER DAVIS |
| Credential | M.D. |
| Practice Address |
619 E Mason St Ste 4p57 Springfield IL 62701-1034 |
| Practice Telephone | 2177880706 |
| Practice Fax Number | 2175252535 |
| Mailing Telephone | 2177880706 |
| Mailing Fax Number | 2175252535 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01080544A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2012018501 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036.150159 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01080544A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.207877 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036.150159 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1225640667 | Jennifer Lea Davis | Technician | 47 Hall St, Philippi, WV 26416-1292 | 2020-08-18 |
| 1285245688 | Jennifer Rae Davis | Technician | 139 Gauley Ave, Cowen, WV 26206-8690 | 2020-08-11 |
| 1053961441 | Jennifer Davis | Massage Therapist | 3161 Howell Mill Rd Nw Ste 330, Atlanta, GA 30327-2133 | 2019-09-17 |
| 1922579432 | Jennifer Jean Davis | Art Therapist | 165 Beach 116th St, Rockaway Park, NY 11694-2411 | 2018-12-09 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| 1477912053 | Jennifer Davis | Speech-Language Pathologist | 301 Toftrees Ave, 345, State College, PA 16803-2074 | 2016-02-11 |
| 1427421908 | Jennifer Davis | Counselor | 925 Country Club Rd, Argyle, TX 76226 | 2015-11-05 |
| 1235501172 | Jennifer Lynn Davis | Home Health Aide | 139 Johnson St, Marion, OH 43302-3316 | 2015-10-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| Street Address |
619 E MASON ST STE 4P57 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1992227417 | Megan D Siegrist | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2017-07-17 |
| 1518405588 | Waleed Alharbi | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2017-02-09 |
| 1346653656 | Kevin Alexander Graham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2014-06-04 |
| 1700134087 | Nadia El Hangouche | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2012-08-17 |
| 1982969960 | Arti Singh | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2012-07-06 |
| 1346539467 | Mark Jung-ching Shen | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2011-03-29 |
| 1619278074 | Wesley Brian Zwiefel | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2010-11-16 |
| 1700199445 | Bharath Rajagopalan | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1871945725 | Ashley R Bell | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2016-07-04 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1023520475 | Michael Robert West | Internal Medicine | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2017-10-25 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1508225616 | Margaret Jordan | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-02-17 |
| 1215333604 | Meredith Fleming | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2014-11-12 |
| 1326486515 | Maryna J Popp | Internal Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2013-06-10 |
| 1730425893 | Nileshkumar J Patel | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2012-12-18 |
| 1760770101 | Bhuvnesh Aggarwal | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2011-07-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.