RICHARD D DAVENPORT (NPI# 1811999063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999063 |
| Entity Type | Individual |
| Full Name | RICHARD D DAVENPORT |
| Credential | MD |
| Practice Address |
2424 S 90th St Ste 506 West Allis WI 53227-2455 |
| Practice Telephone | 4143288760 |
| Practice Fax Number | 4143288763 |
| Mailing Telephone | 4143288760 |
| Mailing Fax Number | 4143288763 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 19876 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PALMETTO GBA-RAILROAD | 18197019 | 01 |
| WI | 30939300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375076 | Richard K Davenport | Counselor | 8609 2nd Ave, Suite 201b, Silver Spring, MD 20910-3360 | 2006-11-22 |
| 1144334236 | Richard Alan Davenport Sr. | Registered Nurse | 102 Hartmann Drive, Suite G, #325, Lebanon, TN 37087-2516 | 2006-08-18 |
| 1205276821 | Richard Davenport II | Counselor | 201 S Market St, Ottumwa, IA 52501-2924 | 2013-06-27 |
| 1760612469 | Richard Austin Davenport | Massage Therapist | 285 Spring St, Tacoma, WA 98250 | 2009-07-16 |
| 1477624732 | Richard Wolfgang Davenport | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-11-10 |
| Street Address |
2424 S 90TH ST STE 506 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227205 | Sirr Grice | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2020-02-13 |
| 1730673955 | Denine Eva Anagnoustopolous | Physician Assistant | 2424 S 90th St, West Allis, WI 53227 | 2018-06-20 |
| 1881133593 | Jason R Gehring | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2017-02-14 |
| 1265975825 | Rachel A Lewis | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-11-29 |
| 1750737367 | Michael Goshorn | Family Medicine | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-05-12 |
| 1366810020 | Kathleen J Krickeberg | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2015-09-10 |
| 1568867232 | Lee David Klemens | Registered Nurse | 2424 S 90th St, Suite 504, West Allis, WI 53227-2455 | 2014-10-23 |
| 1578999405 | Kathleen Conrad | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2013-09-24 |
| 1538594585 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2013-09-10 |
| 1174969372 | Aurora Gi Asc LLC | Clinic/Center | 2424 S 90th St, West Allis, WI 53227-2455 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992907885 | Daniel M Paskowitz | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2007-06-03 |
| 1699710434 | Richard D Davenport Md and Associates, Sc | Ophthalmology | 2424 S 90th St, Suite 506, West Allis, WI 53227-2455 | 2006-06-17 |
| 1124097936 | Daniel Ferguson | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2006-03-15 |
| 1639147879 | Brett Rhode | Ophthalmology | 10150 W National Ave, Suite 100, West Allis, WI 53227-2145 | 2006-03-14 |
| 1053389643 | Mark Freedman | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2006-03-09 |
| 1912975418 | Robert Sucher | Ophthalmology | 10150 W National Ave, West Allis, WI 53227-2145 | 2006-03-09 |
| 1518951136 | Judith Becker Coran | Ophthalmology | 2424 S 90th St, Suite 506, West Allis, WI 53227-2455 | 2005-09-09 |
| 1679575823 | Amy M Moschell | Ophthalmology | 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.