DR. JAMES R DAVIS (NPI# 1811958804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811958804 |
| Entity Type | Individual |
| Full Name | DR. JAMES R DAVIS |
| Credential | DO |
| Practice Address |
1101 Michigan Ave Logansport IN 46947-1528 |
| Practice Telephone | 5747222663 |
| Mailing Telephone | 5747222663 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 02004167A | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 036076015 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | COMMERCIAL | 200019369 | 01 |
| IL | BCBS | 3160469577 | 01 |
| IN | ANTHEM | 000000808791 | 01 |
| IL | 036076015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567643 | James Davis | Counselor | 6827 W Carter Rd, Laveen, AZ 85339-7051 | 2019-09-16 |
| 1104345156 | James Alan Davis | Massage Therapist | 14711 85th Ave E, Puyallup, WA 98375-2506 | 2017-09-11 |
| 1780125377 | James Richard Davis | Radiologic Technologist | 117 Navajo Trail Dr Ste V, Pagosa Springs, CO 81147-9033 | 2017-03-15 |
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1467849844 | James William Davis Jr. | Internal Medicine | 1256 12th Ave. Nw, Arab, AL 35016-2026 | 2015-04-23 |
| 1992049316 | James Herschel Davis | Physical Therapy Assistant | 905 Ford Ave, Muscle Shoals, AL 35661-2207 | 2012-11-26 |
| 1568716926 | James Henry Davis | Chiropractor | 117 River St, Offices B, Milford, CT 06460-3315 | 2012-11-06 |
| 1922397454 | James Aaron Davis | Naturopath | 4735 Statesmen Dr Ste C, Indianapolis, IN 46250-5647 | 2011-04-05 |
| 1093031890 | James E Davis IIi | Counselor | 825 E High St, Springfield, OH 45505-1198 | 2010-04-19 |
| 1669709069 | James E Davis Jr. | Massage Therapist | 21 Ne 61st St, Ocala, FL 34479-1692 | 2009-11-06 |
| Street Address |
1101 MICHIGAN AVE |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885274 | Rose M Ewing | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2005-07-18 |
| 1053918409 | Jill Yager | Physician Assistant | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-10-07 |
| 1093320038 | Jennifer Hager | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-09-15 |
| 1992313738 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-07-17 |
| 1639704711 | Norma Fielding | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-03-09 |
| 1699315648 | Rachel Leann Tiefel | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-01-07 |
| 1558904441 | Matthew Miller | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-10-23 |
| 1396394300 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-09-11 |
| 1124585351 | Marcia K Nagle | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-02-24 |
| 1679059729 | Sydney Rae Sims | Specialist/Technologist | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063892875 | Jason Ummel | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2015-06-05 |
| 1275631020 | Jeryl Glynn Fullen | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2006-09-20 |
| 1235147919 | Kral Varhan | Orthopaedic Surgery | 1101 Michigan Ave, Logansport, IN 46947 | 2006-08-04 |
| 1861414427 | Northcentral Indana Orthopedics | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-07-24 |
| 1518916212 | Charles E Montgomery | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1679022925 | Stephen Stein | Orthopaedic Surgery | 13198 N County Road 400 E, Batesville, IN 47006-8881 | 2016-09-28 |
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1467826032 | Franciscan Physician Network | Orthopaedic Surgery | 759 45th Street, Suite 201, Munster, IN 46321 | 2015-11-19 |
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.