SAMUEL R DAVIS (NPI# 1902863954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902863954 |
| Entity Type | Individual |
| Full Name | SAMUEL R DAVIS |
| Credential | MD |
| Practice Address |
400 6th Ave Montgomery WV 25136-2117 |
| Practice Telephone | 3044425151 |
| Practice Fax Number | 3044421347 |
| Mailing Telephone | 3044425151 |
| Mailing Fax Number | 3044421347 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
13914 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0117385000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750748059 | Samuel Christian Davis | Specialist/Technologist | 1300 Cimarron Cirlce, 101, Fairborn, OH 45324-6205 | 2016-01-19 |
| 1740576164 | Samuel Davis | Developmental Therapist | 1200 N Central Ave Ste 212, Kissimmee, FL 34741-4440 | 2011-06-23 |
| 1710286711 | Samuel Clayton Davis | Pharmacist | 13353 Cleveland Ave Nw, Uniontown, OH 44685-8441 | 2011-03-16 |
| 1831339977 | Samuel Davis | Chiropractor | 185 Lake Dr, Lake Peekskill, NY 10537-1344 | 2009-03-03 |
| 1295911204 | Samuel C Davis Jr. | Counselor | 29086 Jordan Pond Dr, Albemarle, NC 28001-6419 | 2008-01-21 |
| 1497949192 | Samuel Edward Davis IIi | Adult Companion | 545 Ne 21st Ln, Apartment C, Gainesville, FL 32609-6713 | 2007-09-05 |
| 1851514046 | Samuel H Davis | Pediatrics | 604 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3568 | 2007-04-10 |
| 1982631768 | Samuel P Davis IIi | Otolaryngology | 601 Keisler Dr Ste 200, Cary, NC 27518-6567 | 2006-06-27 |
| 1073592697 | Samuel Davis | Dentist | Randolph Road, Cowan Dental Clinic Bldg 605, Ft. Sill, OK 73503 | 2006-01-12 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| Street Address |
400 6TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274830 | Mohamad Riad Sankari | Internal Medicine | 400 6th Ave, Montgomery, WV 25136-2117 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1295809507 | Lou Ann Bowen | Anesthesiology | 401 6th Ave, Montgomery, WV 25136-0270 | 2006-11-20 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers in zip 25136 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770927287 | Nathan Ross Hewlett | Radiology | 2055 Normandie Dr Ste 110, Montgomery, AL 36111-2732 | 2013-04-26 |
| 1265810469 | Fresenius Vascular Care Montgomery Lllp | Radiology | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306920756 | John A Adeniyi | Radiology | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 | 2006-10-24 |
| 1912953092 | James Mitchell Martin | Radiology | 5221 Us Route 60 East, Huntington, WV 25705 | 2006-05-26 |
| 1932108180 | David L. Groten | Radiology | 608 New Hope Rd Ste 7, Princeton, WV 24740-2287 | 2005-07-19 |
| 1023350139 | Robert Grammer | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-27 |
| 1679572564 | Aroor Kinni Raja Rao | Radiology | 200 New Hope Rd, Quail Valley Medical Center No 7, Princeton, WV 24740-2155 | 2005-07-21 |
| City | MONTGOMERY |
| Zip Code | 25136 |
Please comment or provide details below to improve the information on SAMUEL R 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.