DR. STANITIA W. DAVIS (NPI# 1942463567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942463567 |
| Entity Type | Individual |
| Full Name | DR. STANITIA W. DAVIS |
| Credential | D.P.M. |
| Practice Address |
953 North St Suite A Jackson MS 39202-2615 |
| Practice Telephone | 6013660026 |
| Practice Fax Number | 6013660069 |
| Mailing Telephone | 6013660026 |
| Mailing Fax Number | 6013660069 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
80207 | MS | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
953 NORTH ST SUITE A |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063865343 | Wjl Podiatry Clinic LLC | Clinic/Center | 953 North St, Jackson, MS 39202-2615 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| 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 |
| 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 |
| 1912273814 | Davis Podiatry, LLC | Podiatrist | 128 Poindexter St, Jackson, MS 39203-3048 | 2012-03-26 |
| 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 | ||||
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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.