SAMUEL P DAVIS III (NPI# 1982631768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982631768 |
| Entity Type | Individual |
| Full Name | SAMUEL P DAVIS III |
| Credential | MD |
| Practice Address |
601 Keisler Dr Ste 200 Cary NC 27518-6567 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 9198594744 |
| Practice Fax Number | 9198595834 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 9900469 | NC | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 01070226A | IN | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
01070226A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891214V | 05 | |
| IN | 201036750 | 05 | |
| NC | PALMETTO GBA-RR MEDICARE | 040014729 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3930 Mezzanine Dr, Suite D, Lafayette, IN 479058646 | 7658072784 | 7658072786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750748059 | Samuel Christian Davis | Specialist/Technologist | 1300 Cimarron Cirlce, 101, Fairborn, OH 45324-6205 | 2016-01-19 |
| 1740576164 | Samuel Davis | Developmental Therapist | 1200 N Central Ave Ste 212, Kissimmee, FL 34741-4440 | 2011-06-23 |
| 1710286711 | Samuel Clayton Davis | Pharmacist | 13353 Cleveland Ave Nw, Uniontown, OH 44685-8441 | 2011-03-16 |
| 1831339977 | Samuel Davis | Chiropractor | 185 Lake Dr, Lake Peekskill, NY 10537-1344 | 2009-03-03 |
| 1295911204 | Samuel C Davis Jr. | Counselor | 29086 Jordan Pond Dr, Albemarle, NC 28001-6419 | 2008-01-21 |
| 1497949192 | Samuel Edward Davis IIi | Adult Companion | 545 Ne 21st Ln, Apartment C, Gainesville, FL 32609-6713 | 2007-09-05 |
| 1851514046 | Samuel H Davis | Pediatrics | 604 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3568 | 2007-04-10 |
| 1073592697 | Samuel Davis | Dentist | Randolph Road, Cowan Dental Clinic Bldg 605, Ft. Sill, OK 73503 | 2006-01-12 |
| 1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
| 1407213705 | Samuel Kyle Davis | Counselor | 2470 Patterson Rd Ste 6office5, Grand Junction, CO 81505-1028 | 2016-01-19 |
| Street Address |
601 KEISLER DR STE 200 |
| City | CARY |
| State | NC |
| Zip Code | 27518-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088255 | John Arthur Garside | Otolaryngology | 790 Se Cary Pkwy Ste 110, Cary, NC 27511-5678 | 2005-07-27 |
| 1194047340 | Wake Ear Nose and Throat Specialists Pllc | Otolaryngology | 600 New Waverly Pl, Ste. 201, Cary, NC 27518-7404 | 2010-02-15 |
| 1891923165 | Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc | Otolaryngology | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
| 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.