MR. CAMERON A DAVIS (NPI# 1801233663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801233663 |
| Entity Type | Individual |
| Full Name | MR. CAMERON A DAVIS |
| Credential | PA |
| Practice Address |
419 S Coral St Kalkaska MI 49646-2503 |
| Practice Telephone | 2312587506 |
| Practice Fax Number | 2312587527 |
| Mailing Telephone | 2312587506 |
| Mailing Fax Number | 2312587527 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AMD-622 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601006686 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 5601006686 | 01 |
| HI | PA | AMD-622 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868649 | Cameron Ronelle Davis | Behavior Technician | 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 | 2020-10-12 |
| 1902370604 | Cameron James Davis | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-01-15 |
| 1366928954 | Cameron Davis | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2018-07-17 |
| 1619427523 | Cameron Davis | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St Ste 180, Las Vegas, NV 89128-9017 | 2016-10-04 |
| 1588984421 | Cameron Davis | Counselor | 659 E Walnut St, Pasadena, CA 91101-1635 | 2010-06-02 |
| Street Address |
419 S CORAL ST |
| City | KALKASKA |
| State | MI |
| Zip Code | 49646-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931720 | Jason T Hicks | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2005-06-13 |
| 1487289930 | Tina Jacobs | Pharmacist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2020-03-05 |
| 1760028419 | Jill Kathleen Murphy | Counselor | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-11-18 |
| 1053969949 | Hannah Parrish | Speech-Language Pathologist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-09-03 |
| 1033674072 | Lindsey Marie Ranstadler | Nurse Practitioner | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-02-04 |
| 1871094375 | Matthew James Rider | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-21 |
| 1386144970 | Kassi Burkam | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1407356942 | Nancy Yvonne Grody | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1790285252 | Lene Oestlyngen Hall | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1013417609 | Holly Jo Swinehart | Occupational Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245737915 | Leanne Berry | Physical Therapist | 409 S. Coral, Kalkaska, MI 49646 | 2018-04-10 |
| 1770030488 | Duane Allen | Pharmacist | 784 South Cedar St Ste E, Kalkaska, MI 49646 | 2016-09-10 |
| 1831524040 | Stephanie Marie Murden | Homemaker | 5031 Wagenschutz Rd., Kalkaska, MI 49646 | 2013-09-06 |
| 1508202615 | Dynamic Hearing Care Systems LLC. | Hearing Instrument Specialist | 303 N. Cedar St., Kalkaska, MI 49646 | 2013-05-15 |
| 1063722965 | Robin Lee Nelson | Massage Therapist | 110 W. Fourth St., Kalkaska, MI 49646 | 2010-10-14 |
| 1578886057 | Your Community Above and Beyond Home Health Care | In Home Supportive Care | 303 Cedar Street, Kalkaska, MI 49646 | 2010-03-11 |
| 1891980306 | Kalkaska Memorial Health Center | Clinic/Center | 415 2nd St., Kalkaska, MI 49646 | 2007-09-07 |
| 1114121001 | Kalkaska Chiropractic Center | Chiropractor | 224 S Cedar St, Kalkaska, MI 49646 | 2007-06-13 |
| 1659490860 | Active Brace and Limb | Prosthetic/Orthotic Supplier | 215 S Cedar Street, Kalkaska, MI 49646 | 2007-03-28 |
| 1205849882 | Robert E Molter Jr. | Optometrist | 882 M 72 Nw, Kalkaska, MI 49646 | 2006-08-14 |
| Find all providers in zip 49646 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598098824 | Harold J Lake Jr. | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2009-09-18 |
| 1457567851 | David K Vandekieft | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2007-05-15 |
| 1508937731 | Thomas A Minor | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2500 | 2006-11-10 |
| 1952472193 | Donald J Wend | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2500 | 2006-11-10 |
| 1255416871 | Craig Sheerin | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2500 | 2006-10-25 |
| 1952486656 | Robert Calt | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2500 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.