PAUL DUANE DAVIS (NPI# 1821197484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821197484 |
| Entity Type | Individual |
| Full Name | PAUL DUANE DAVIS |
| Credential | M.D. |
| Practice Address |
2373 W Main St Ste 102 Salem WV 26426-7515 |
| Mailing Address |
Po Box 763 Morgantown WV 26507-0763 |
| Practice Telephone | 3047822000 |
| Practice Fax Number | 3047823102 |
| Mailing Telephone | 8005414009 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15251 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0041239000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134441496 | Paul A. Davis | Social Worker | 3373 N Diamond Butte Way, Tucson, AZ 85745-7128 | 2010-02-26 |
| 1992940803 | Paul Frederic Davis | Dentist | 40217 North Shore Dr., Loon Lake, WA 99148-0765 | 2008-12-05 |
| 1922253251 | Paul Eugene Davis Jr. | Pathology | 10022 Pacific Ave, Franklin Park, IL 60131-1837 | 2008-12-01 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1750435574 | Paul Kenneth Davis | Massage Therapist | 715 Yelm Avenue West, Suite # 5, Yelm, WA 98597 | 2007-01-22 |
| 1356416259 | Paul Davis | Dentist | Audrey Egle Drive, Shepherdstown, WV 25443 | 2006-11-24 |
| 1558456079 | Paul Eugene Davis | Chiropractor | 751 N. 20th St., Ozark, MO 65721 | 2006-10-03 |
| 1558466631 | Paul Thomas Davis II | Dentist | 220 Cherokee Rd # A, Florence, SC 29501-5225 | 2006-09-14 |
| 1831102730 | Paul E Davis | Social Worker | 1260 Monroe St Nw Ste 15h, New Philadelphia, OH 44663-4147 | 2006-08-14 |
| 1053330795 | Paul J Davis | Chiropractor | 1203 E Vermont Ave, Anaheim, CA 92805-5622 | 2006-07-19 |
| Street Address |
2373 W MAIN ST STE 102 |
| City | SALEM |
| State | WV |
| Zip Code | 26426-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407234388 | Houda Mouradian- Al Tawil | Family Medicine | 2373 W Main St Ste 102, Salem, WV 26426-7515 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1295240992 | Charlotte Spicer | Technician | 57 New York Avenue, Salem, WV 26426 | 2017-12-05 |
| 1649639618 | City of Salem | Ambulance | 60 Mills Street, Salem, WV 26426 | 2016-02-18 |
| 1114351202 | Alexandria Danielle Johnson | Nurse Practitioner | 2373 W. Main St., Suite 102, Salem, WV 26426 | 2013-08-26 |
| 1427173913 | Tracy Lynn Brady | Physical Therapy Assistant | 146 Water St., Salem Care and Rehabilitation, Salem, WV 26426 | 2007-03-21 |
| 1144329707 | Mary Caroline Mikowski | Family Medicine | Rt 50 West, Salem, WV 26426 | 2006-09-21 |
| 1174521850 | Michelle Renee Wickline | Optometrist | Rt 1 Box 75-4, Salem, WV 26426 | 2005-07-07 |
| 1619329331 | Melissa Braun | Student in an Organized Health Care Education/Training Program | 225 Water St, Salem, WV 26426 | 2016-07-06 |
| 1861685281 | Joseph Audia, Od | Optometrist | Rt 1 Box 75-4, Salem, WV 26426 | 2007-08-20 |
| Find all providers in zip 26426 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
| 1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
| 1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
| 1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
| 1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
| 1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
| 1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
| 1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
| Find all providers in SALEM | ||||
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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.