CHAD RUSSELL DAVIS (NPI# 1891207635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891207635 |
| Entity Type | Individual |
| Full Name | CHAD RUSSELL DAVIS |
| Credential | MA |
| Practice Address |
11102 Lindbergh Business Ct Saint Louis MO 63123-7810 |
| Mailing Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 3142063400 |
| Mailing Telephone | (314) 206-3700 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770953 | Chad Joseph Davis | Dentist | 3811 Cerrillos Rd Ste 104, Santa Fe, NM 87507-4149 | 2019-06-21 |
| 1215341557 | Chad Davis | Counselor | 16688 S 11th West Ave, Glenpool, OK 74033-4204 | 2014-06-15 |
| 1881880003 | Chad Alan Davis | Counselor | 1021 W Broadway Ave, Suite A, Moses Lake, WA 98837-2604 | 2007-09-20 |
| 1295809945 | Chad Davis | Physical Therapist | 105 Jillian Ct, Edinburg, VA 22824-9402 | 2006-11-17 |
| 1417984006 | Chad Joseph Davis | Specialist/Technologist | 2749 Oak Grove Rd, Hattiesburg, MS 39402-8904 | 2006-06-27 |
| 1750348868 | Chad Davis | Optometrist | 110 College St, Suite B, Athens, AL 35611-2714 | 2006-05-01 |
| 1760025258 | Chad Michael Davis | Nurse Practitioner | 171 Ashley Avenue, Charleston, SC 29425-8908 | 2019-10-28 |
| 1942632484 | Chad Davis | Counselor | 4308 76th St Ne, Marysville, WA 98270-3720 | 2013-08-07 |
| 1790128833 | Chad E Davis | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-04-08 |
| 1104081702 | Chad E Davis | Nurse Practitioner | 1098 S State Road 25, Logansport, IN 46947-6723 | 2008-07-23 |
| Street Address |
11102 LINDBERGH BUSINESS CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606273 | Precision Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2005-06-01 |
| 1760018584 | Kristen Marie Meyer | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-13 |
| 1124654983 | Sherry Lynne Ellis | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-12 |
| 1497394175 | Kayla Rosenberg | Technician, Other | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1508405291 | Jennifer Carolyn Baty | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1053958561 | Lisa Marie Mcavoy | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-03 |
| 1013553619 | Anastasia L Murdock | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-11-19 |
| 1316594666 | Courtney Neff | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1437706785 | Lillian Marie Mcentire | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1467008615 | Madison Rose Baker-wilmes | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1235781055 | Melony Crayton | Case Manager/Care Coordinator | 800 N Tucker Blvd # Stm, Saint Louis, MO 63101-1008 | 2019-07-11 |
| 1265901144 | Maggie Mcgrath | Case Manager/Care Coordinator | 1430 Olive St Ste 4000, Saint Louis, MO 63103-2360 | 2018-11-20 |
| 1518442623 | Laura Lynn Walker | Case Manager/Care Coordinator | 1430 Olive St Ste 44, Saint Louis, MO 63103-2360 | 2018-09-25 |
| 1225517766 | Cecilia Bodet | Case Manager/Care Coordinator | 5605 Lansdowne Ave, Saint Louis, MO 63109-1527 | 2018-08-07 |
| 1114414679 | Jocelyn Acoff | Case Manager/Care Coordinator | 1430 Olive St Ste 600, Saint Louis, MO 63103-2323 | 2018-04-19 |
| 1093248593 | Ryan Dubois | Case Manager/Care Coordinator | 12909 Autumn View Dr, Saint Louis, MO 63146-4331 | 2017-04-11 |
| 1669911780 | Brittaney Booker | Case Manager/Care Coordinator | 4718 Oakridge Blvd, Saint Louis, MO 63121-3011 | 2017-02-22 |
| 1861869349 | Ana Baldeon | Case Manager/Care Coordinator | 9920 Watson Rd Ste 205, Saint Louis, MO 63126-1857 | 2015-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63123 |
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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.