Charles W Davis Ii Md Llc, NPI 1164652970
Orthopaedic Surgery of the Spine Physician in Glen Burnie, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1164652970
NPI Entity Type Organization
Provider Name Charles W Davis Ii Md Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 331 Oak Manor Dr, Suite 201, Glen Burnie, MD, US
Provider Mailing Address Po Box 62440, Baltimore, MD, US, 212642440
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Charles W Davis II
Official Position SOLE MANAGER
Phone 410-335-0008

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207XS0117X

Taxonomy Name Orthopaedic Surgery of the Spine Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

Description Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Business Address

Charles W Davis Ii Md Llc
331 Oak Manor Dr
Suite 201

Glen Burnie, MD, US

Phone: 410-625-5050
Fax: 410-766-1404

Mailing Address

Charles W Davis Ii Md Llc
Po Box 62440
Baltimore, MD, US
ZIP 212642440
Phone: 410-625-5050
Fax: 410-766-1404

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
159276 MD MEDICARE PART B 01
DCK7CW MD CAREFIRST 01
DP4271 GA RAILROAD MEDICARE GROUP PTAN 01
Q647 DC CAREFIRST 01
417933100 MD MEDICAL ASSISTANCE 01

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Organization

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Individual

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Organization

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PMHNP Lauren Nicole Deal

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DR. DNP CRNA Kelsea Jo Lucas

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Certified Registered Nurse Anesthetist

22 S Greene St

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