Jason C Davis (NPI# 1306170808, PAC ID# 6204978182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306170808 |
| PAC ID by PECOS | 6204978182 |
| Professional Enrollment ID | I20110204000959 |
| Full Name | Jason C Davis |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Address |
9974 214th St W Lakeville MN 55044-1913 |
| Phone Number | 9524690500 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567372998 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 9529934900 | PARK NICOLLET CLINIC |
| 300 Lake Dr E, Chanhassen, MN 55317-9302 | 9529934300 | PARK NICOLLET CLINIC |
| 1885 Plaza Dr, Eagan, MN 55122-2979 | 9529934001 | PARK NICOLLET CLINIC |
| 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 | 9529937400 | PARK NICOLLET CLINIC |
| 19685 Hwy 7, Excelsior, MN 55331-7516 | 9529935900 | PARK NICOLLET CLINIC |
| 9974 214th St W, Lakeville, MN 55044-1913 | 9524690500 | NORTHFIELD HOSPITAL |
| 15800 95th Ave N, Maple Grove, MN 55369-4400 | 9529931440 | PARK NICOLLET CLINIC |
| 1221 W Lake St, Suite 208, Minneapolis, MN 55408-3565 | 6124553200 | UPTOWN DERMATOLOGY AND SKIN SPA, P.A. |
| 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 | 9529934500 | PARK NICOLLET CLINIC |
| 4155 County Rd 101, Plymouth, MN 55446-2307 | 9529938900 | PARK NICOLLET CLINIC |
| 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 9529937750 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice S Mann | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Stephan D Thome | Medical Oncology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Lori A Aasen | Nurse Practitioner | Northfield Hospital | 706 Division St S, Northfield, MN 55057-2427 |
| Charles P Reznikoff | Addiction Medicine | Northfield Hospital | 103 15th Seave, Lonsdale, MN 55046-5001 |
| Nicholas W Krawczyk | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Gerard L Ohalloran | Otolaryngology | Northfield Hospital | 1645 Lyndale Ave N, Faribault, MN 55021-2934 |
| Clinton A Muench | Orthopedic Surgery | Northfield Hospital | 1381 Jefferson Rd, Northfield, MN 55057-3080 |
| Cristina M Gonzalez Mendez | Obstetrics/gynecology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Souheil E Ailabouni | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Hans Carl Bengtson | Orthopedic Surgery | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Street Address |
9974 214TH ST W |
| City | LAKEVILLE |
| State | MN |
| Zip | 55044-1913 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice S Mann | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Joel H Hendrickson | Emergency Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Suzanne M Schaefer | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Mary A Scheid | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Debra M Mcguire-lang | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Gretchen A Herrmann | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Sarah J Lybarger | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Jennifer H Block | Emergency Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Katie J Larsen | Nurse Practitioner | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Marnie E Davis | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Huseth | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Jill R Hammes | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Rebekah M Oakland-garey | Chiropractic | Turning Leaf Chiropractic Pa | 10440 185th W St, Suite 300, Lakeville, MN 55044 |
| Rhonda L Meyer | Nurse Practitioner | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Nyahon C Chut | Physician Assistant | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Angela I Vogel | Nurse Practitioner | Allina Health System | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 |
| Margaret E Glennon | Physician Assistant | Allina Health System | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 |
| Susan C Lemm | Nurse Practitioner | Allina Health System | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 |
| Amy Lynn Bowman | Physician Assistant | Allina Health System | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 |
| Robert William Tix | Physician Assistant | Allina Health System | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 |
| Find all physicians in zip 55044 | |||
| City | LAKEVILLE |
| Zip Code | 55044 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jason C Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.