DAVIS PODIATRY, LLC


Address: 128 Poindexter St, Jackson, MS 39203-3048
Phone: 6013550026

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
80207 MS Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 128 POINDEXTER ST
City JACKSON
State MS
Zip Code 39203-3048

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City JACKSON
Zip Code 39203

Improve Information

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Dataset Information

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.

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