DR. JACOB TRAVIS DAVIS (NPI# 1962847376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962847376 |
| Entity Type | Individual |
| Full Name | DR. JACOB TRAVIS DAVIS |
| Credential | MD |
| Practice Address |
2201 Macarthur Dr Ste 2205 Waco TX 76708-3159 |
| Mailing Address |
Po Box 848491 Dallas TX 75284-8491 |
| Practice Telephone | 2542028980 |
| Practice Fax Number | 2547302692 |
| Mailing Telephone | 8009940371 |
| Mailing Fax Number | 2542159722 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Q9982 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932767357 | Jacob Patrick Davis | Student in an Organized Health Care Education/Training Program | Vcu Dept of Int Medicine Residency, 980509, 1250 E Marshall Street, Richmond, VA 23219-0509 | 2019-05-31 |
| 1679032429 | Jacob Evan Davis | Student in an Organized Health Care Education/Training Program | 6610 Manchester St, New Orleans, LA 70126-1744 | 2019-03-19 |
| 1023541927 | Jacob Andrew Davis | Rehabilitation Practitioner | 304 Glen Carin Dr Ne, Rockford, MI 49341-9395 | 2017-04-06 |
| 1831710391 | Jacob Davis | Physical Therapist | 11305 Reed Hartman Hwy Ste 226, Blue Ash, OH 45241-2435 | 2020-05-06 |
| 1407412612 | Jacob Davis | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-13 |
| 1932672979 | Jacob Davis | Health Maintenance Organization | 606 Colonial Dr Ste B, Baton Rouge, LA 70806-6535 | 2019-01-02 |
| 1417428350 | Jacob Ryan Davis | Occupational Therapist | 350 Radio Park Dr Ste 1, Richmond, KY 40475 | 2018-12-17 |
| 1982147401 | Jacob Davis | Counselor | 900 Avila St, Los Angeles, CA 90012-4287 | 2016-12-01 |
| 1255889903 | Jacob Kaman Davis | Nurse Practitioner | 2801 N Loy Lake Rd, Sherman, TX 75090-1726 | 2016-09-12 |
| 1770975625 | Jacob Michael Davis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2015-03-02 |
| Street Address |
2201 MACARTHUR DR STE 2205 |
| City | WACO |
| State | TX |
| Zip Code | 76708-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033306303 | Kandace Marie Bullajian | Nurse Practitioner | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
| 1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
| 1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
| 1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
| 1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
| 1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
| 1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
| 1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
| 1851633994 | Ashley Elizabeth Levack | Orthopaedic Surgery | 6414 Fannin St Ste G150, Houston, TX 77030-1514 | 2013-03-26 |
| 1659618221 | Mansour Navid Ortho Pa | Orthopaedic Surgery | 800 Peakwood Dr, Suite 3a, Houston, TX 77090-2900 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
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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.