DAVIS PODIATRY, LLC (NPI# 1912273814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912273814 |
Entity Type | Organization |
Organization Name | DAVIS PODIATRY, LLC |
Practice Address |
128 Poindexter St Jackson MS 39203-3048 |
Practice Telephone | 6013550026 |
Practice Fax Number | 6013550069 |
Mailing Telephone | 6013550026 |
Mailing Fax Number | 6013550069 |
Enumeration Date | 2012-03-26 |
Last Update Date | 2012-03-26 |
Authorized Official Name | DR. STANITIA W35500263550021 DAVIS (OWNER) |
Authorized Official Telephone | 6013550026 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
80207 | MS | Podiatric Medicine & Surgery Service Providers |
Street Address |
128 POINDEXTER ST |
City | JACKSON |
State | MS |
Zip Code | 39203-3048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972537041 | Willie James Lewis Sr. | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2006-07-11 |
1184885147 | Mississippi Foot Clinic, Inc | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2008-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
1710022959 | Jackson Public Schools Dba Galloway Clinic | Registered Nurse | 186 Idlewild St, Jackson, MS 39203-1219 | 2007-02-21 |
1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
Find all providers in zip 39203 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851913842 | Premier Podiatry LLC | Podiatrist | 5434 River Thames Rd, Jackson, MS 39211-4133 | 2020-05-12 |
1164873527 | Blake Brannick | Podiatrist | 3333 Spring Arbor Rd Ste 200, Jackson, MI 49203-8622 | 2016-06-28 |
1518201920 | Eugene D Rohacz D P M P C | Podiatrist | 1518 W Michigan Ave, Jackson, MI 49202-4025 | 2012-11-26 |
1942463567 | Stanitia W. Davis | Podiatrist | 953 North St, Suite A, Jackson, MS 39202-2615 | 2008-07-03 |
1154736585 | The Jackson Center for Foot and Ankle Medicine | Podiatrist | 728 Bennetts Mills Rd, Suite 2, Jackson, NJ 08527 | 2014-06-24 |
1922425560 | Caroline Kiser | Podiatrist | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2014-03-20 |
1962740696 | Nicolas Arcuri | Podiatrist | 657 Skyline Dr, Suite A, Jackson, TN 38301-3903 | 2013-01-31 |
1699004606 | Somc Medical Group PC | Podiatrist | 2290 W County Line Rd, Jackson, NJ 08527-2267 | 2009-12-22 |
1184885147 | Mississippi Foot Clinic, Inc | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2008-06-23 |
1609047372 | Jackson Center for Foot and Ankle Medicine,llc | Podiatrist | 180 N County Line Rd, Jackson, NJ 08527-4421 | 2008-03-20 |
Find all providers in JACKSON |
Please comment or provide details below to improve the information on DAVIS PODIATRY, LLC.
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.