MCKENNA PAIGE DAVIS (NPI# 1841757325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841757325 |
| Entity Type | Individual |
| Full Name | MCKENNA PAIGE DAVIS |
| Credential | PA-C |
| Practice Address |
528 W Baldwin Rd Panama City FL 32405-3313 |
| Mailing Address |
92 Chapman St Santa Rosa Beach FL 32459-8557 |
| Practice Telephone | 8505221522 |
| Mailing Telephone | 2145353229 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112027 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN ASSISTANT STATE LICENSE | PA9112027 | 01 |
| Street Address |
528 W BALDWIN RD |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689639114 | Rubina Azam | Pediatrics | 528 W Baldwin Rd, Panama City, FL 32405-3313 | 2006-04-18 |
| 1669019873 | Baldwin Dental, Inc | Dentist | 528 W Baldwin Rd, Panama City, FL 32405-3313 | 2019-12-06 |
| 1295230258 | Centre for Integrative and Holistic Medicine | Clinic/Center | 528 W Baldwin Rd, Panama City, FL 32405-3313 | 2018-03-29 |
| 1669887139 | Khaled Mohammed Al-farawi | Pediatrics | 528 W Baldwin Rd, Panama City, FL 32405-3313 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986701 | Ashley Michael Ingram | Physician Assistant | 3105 Island View Cir, Panama City, FL 32405-2145 | 2019-05-08 |
| 1639675853 | Maria Calliope Patronis | Physician Assistant | 7935 N Lagoon Dr, Panama City, FL 32408-5261 | 2018-04-05 |
| 1790999423 | Virginia K Pullen | Physician Assistant | 2306 Hwy 77, Panama City, FL 32405-4404 | 2007-05-10 |
| 1104925718 | Jennifer L Wit | Physician Assistant | 1514 W 23rd St, Panama City, FL 32405-2905 | 2006-09-21 |
| 1164453965 | Rebecca Lynn Gicewicz | Physician Assistant | 402 W 19th St, Panama City, FL 32405-4602 | 2006-07-06 |
| 1376510560 | Charles Alan Byron | Physician Assistant | 1900 Harrison Rd, Panama City, FL 32405 | 2006-03-07 |
| 1225024680 | Sheldon J Roberts | Physician Assistant | 509 E 23rd St, Panama City, FL 32405-5307 | 2005-09-21 |
| 1043822257 | Jenna R Hurley | Physician Assistant | 80 Doctors Dr, Panama City, FL 32405-4517 | 2020-08-19 |
| 1922571066 | Jonathan Almand | Physician Assistant | 2309 E 15th St, Panama City, FL 32405-6345 | 2019-01-10 |
| 1902321268 | Megan Claire Thomas | Physician Assistant | 621 W Baldwin Rd Ste A, Panama City, FL 32405-3364 | 2017-08-08 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MCKENNA PAIGE DAVIS.
| 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.