DAVIS FOOT AND ANKLE CENTERS, INC (NPI# 1811162936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811162936 |
Entity Type | Organization |
Organization Name | DAVIS FOOT AND ANKLE CENTERS, INC |
Other Organization Name | DAVIS FOOT AND ANKLE CENTER |
Practice Address |
312 Northcrest Dr Springfield TN 37172-3963 |
Mailing Address |
Po Box 1455 Springfield TN 37172-1455 |
Practice Telephone | 6153843112 |
Practice Fax Number | 6153847332 |
Mailing Telephone | 6153843112 |
Mailing Fax Number | 6153847332 |
Enumeration Date | 2008-04-29 |
Last Update Date | 2013-01-23 |
Authorized Official Name | DR. KEVIN W DAVIS (OWNER / PROVIDER) |
Authorized Official Telephone | 6153843112 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Davis Foot and Ankle Center | Doing Business As Name - Organization |
Street Address |
312 NORTHCREST DR |
City | SPRINGFIELD |
State | TN |
Zip Code | 37172-3963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326047119 | Kevin W Davis | Podiatrist | 312 Northcrest Dr, Springfield, TN 37172-3963 | 2005-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
Find all providers in zip 37172 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
1174672869 | Peter Crickellas | Podiatrist | 24 Lyons Pl, Springfield, NJ 07081-1604 | 2007-01-10 |
1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 37172 |
Please comment or provide details below to improve the information on DAVIS FOOT AND ANKLE CENTERS, INC.
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.