A. JILL DAVIS (NPI# 1831382431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831382431 |
| Entity Type | Individual |
| Full Name | A. JILL DAVIS |
| Other Name | ANDREA JILL DAVIS |
| Credential | MD |
| Practice Address |
801 Hazelwest Dr Hazelwood MO 63042-1754 |
| Practice Telephone | 3149192700 |
| Mailing Telephone | 3149192700 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008007440 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02908107 | 05 | |
| MO | RAILROAD MEDICARE | P01128467 | 01 |
| MO | 1831382431 | 05 |
| Street Address |
801 HAZELWEST DR |
| City | HAZELWOOD |
| State | MO |
| Zip Code | 63042-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447082 | Terrell J. Mulford | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2006-02-20 |
| 1326200692 | Nicholas Austin Greiner | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2008-06-27 |
| 1174726046 | Artan Markollari | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
| 1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
| 1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
| 1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
| 1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
| 1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| Find all providers in zip 63042 | ||||
| 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 |
|---|---|---|---|---|
| 1881723062 | Delores Chantel Dotson | Family Medicine | 801 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1754 | 2007-03-05 |
| 1609978261 | Melissa Ann Bean | Family Medicine | 5757 Phantom Dr, Suite 400, Hazelwood, MO 63042-2429 | 2006-09-03 |
| 1073559712 | David Howell | Family Medicine | 5960 Howdershell Rd Ste 106, Hazelwood, MO 63042-4102 | 2006-06-21 |
| 1265499289 | Kwabena Owusu Dekyi | Family Medicine | 7451a N Lindbergh Blvd, Hazelwood, MO 63042 | 2006-04-26 |
| 1669447082 | Terrell J. Mulford | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2006-02-20 |
| 1982991873 | Joshua Michael Behlmann | Family Medicine | 637 Dunn Rd, Suite 101, Hazelwood, MO 63042-1755 | 2011-06-30 |
| 1285923607 | North County Pain Relief Center, LLC | Family Medicine | 7157 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2011-04-06 |
| 1144559600 | Howell Family Practice P C | Family Medicine | 5960 Howdershell Rd Ste 106, Hazelwood, MO 63042-4102 | 2009-12-12 |
| 1326200692 | Nicholas Austin Greiner | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2008-06-27 |
| 1174726046 | Artan Markollari | Family Medicine | 801 Hazelwest Dr, Hazelwood, MO 63042-1754 | 2007-06-07 |
| Find all providers in HAZELWOOD | ||||
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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.