DR. ANTHONY DEWAYNE DAVIS (NPI# 1962446898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962446898 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY DEWAYNE DAVIS |
| Credential | M.D. |
| Practice Address |
1379 Brad Circle Ste A Lindale TX 75771 |
| Practice Telephone | 9038815165 |
| Practice Fax Number | 9038815175 |
| Mailing Telephone | 9038815165 |
| Mailing Fax Number | 9038815175 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K7710 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR | P00017436 | 01 | |
| TX | 116319807 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1910 Roseland Blvd, Tyler, TX 757014246 | 9035330644 | 9035330441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015093 | Anthony Davis | Marriage & Family Therapist | 1016 N Hudson Ave Apt 1, Los Angeles, CA 90038-2539 | 2014-09-09 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1154546166 | Anthony C Davis | Psychiatry & Neurology | 220 N Phoenix Ave, Russellville, AR 72801-2826 | 2007-04-16 |
| 1376629923 | Anthony Eugene Davis | Counselor | 269 S Highland Ave, Prestonsburg, KY 41653-1909 | 2006-10-27 |
| 1346840352 | Anthony Davis | Pharmacist | 101 E Redd Rd, El Paso, TX 79932-1981 | 2020-10-28 |
| 1629680178 | Anthony Kyle Davis | Pharmacist | 13450 S Blackbob Rd, Olathe, KS 66062-1503 | 2020-08-17 |
| 1144733387 | Anthony Lee Davis | Physical Therapy Assistant | 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 | 2017-11-09 |
| 1124566435 | Anthony Kyle Davis | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2017-02-07 |
| 1235687039 | Anthony Davis | Home Health Aide | 6856 Eastern Ave Nw, Washington, DC 20012-2165 | 2016-09-21 |
| 1144683814 | Anthony Davis | Counselor | 895 Blue Hill Ave, Boston, MA 02124-2902 | 2016-03-31 |
| Street Address |
1379 BRAD CIRCLE STE A |
| City | LINDALE |
| State | TX |
| Zip Code | 75771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
| 1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
| 1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
| 1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
| 1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
| 1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
| 1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
| 1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
| Find all providers in zip 75771 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1407822299 | Eleazar Vera Jr. | Family Medicine | 2410 S Main St, Lindale, TX 75771-7790 | 2006-02-23 |
| 1114917796 | Donna M Hand | Family Medicine | 103 E North St, Lindale, TX 75771-3116 | 2005-10-25 |
| 1447249842 | Redmond Physician Practice Company | Family Medicine | 3138 Maple Rd Se, Lindale, GA 30147-1309 | 2005-10-18 |
| 1366430332 | Melita Lang Brooks | Family Medicine | 3202 S Main St, Lindale, TX 75771-7727 | 2005-10-12 |
| 1568455673 | Lindale Medical Clinic, Inc | Family Medicine | 206 W Hubbard St, Lindale, TX 75771-6215 | 2005-08-24 |
| 1568465755 | Russell Bell | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2005-05-23 |
| 1659916849 | Hunters Compassionate Care LLC | Family Medicine | 508 Pierce St, Lindale, TX 75771-3335 | 2019-11-11 |
| 1568874824 | Hayden Head | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-21 |
| 1609288091 | Carah Howe | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-20 |
| Find all providers in LINDALE | ||||
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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.