DR. MARY MARGARET DAVIS (NPI# 1932304326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932304326 |
| Entity Type | Individual |
| Full Name | DR. MARY MARGARET DAVIS |
| Credential | M.D., M.S. |
| Practice Address |
2560 N Shadeland Ave Ste A Indianapolis IN 46219-1706 |
| Mailing Address |
4700 N Road 500 W Bargersville IN 46106-9755 |
| Practice Telephone | 3172758000 |
| Practice Fax Number | 3174235696 |
| Mailing Telephone | 3174228225 |
| Mailing Fax Number | 3174235696 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
01043350A | IN | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01043350A | IN | Allopathic & Osteopathic Physicians |
| X | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
01043350A | IN | Allopathic & Osteopathic Physicians |
| X | 209800000X | Legal Medicine | 01043350A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992562 | Mary L Davis | Technician | 9946 Tracy Rd, Atoka, TN 38004-7528 | 2019-10-01 |
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1992218648 | Mary Davis | Technician | 2801 14th St Nw Apt 517, Washington, DC 20009-4914 | 2017-11-15 |
| 1750807152 | Mary Ann Davis | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1588186290 | Mary Ann Davis | Counselor | 472 W Paseo Rio Grande, Oro Valley, AZ 85737-6877 | 2017-07-13 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1770038093 | Mary E Davis | Nurse Practitioner | 2467b Diehl Dr, Tallahassee, FL 32308-3870 | 2016-08-16 |
| 1275914392 | Mary Katherine Davis | Dentist | 1903 Ep True Pkwy, West Des Moines, IA 50265-7000 | 2015-06-15 |
| 1427448463 | Mary Davis | Massage Therapist | 28186 Highway 74, Unit 7, Evergreen, CO 80439-5775 | 2015-01-29 |
| 1972845873 | Mary Joe Davis | Counselor | 130 Jessie St, Ellwood City, PA 16117-5408 | 2013-03-19 |
| Street Address |
2560 N SHADELAND AVE STE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871904920 | Adam Michael Miller | Pathology | 2560 N Shadeland Ave Ste A, Indianapolis, IN 46219-1706 | 2014-05-12 |
| 1841448180 | Anjali Shailesh Godambe | Pathology | 2560 N Shadeland Ave Ste A, Indianapolis, IN 46219-1706 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 207SC0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Cytogenetic |
| A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649236217 | Gail H Vance | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689654204 | Janice Zunich | Medical Genetics | Community Diagnostic Center, 10020 Donald Powers Dr., Munster, IN 46321 | 2006-01-19 |
| 1235399726 | Northwest Center Medical Services Corp | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-06-10 |
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on DR. MARY MARGARET 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.