Katrina Davis
Obstetrics & Gynecology (Female Pelvic Medicine and Reconstructive Surgery)

Address: 101 Eyster Blvd, Rockledge, FL 32955-3608
Phone: 3218063929

Katrina Davis (NPI# 1306936893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306936893
Entity Type Individual
Full Name Katrina Davis
Credential MD
Gender Female
Practice Address 101 Eyster Blvd
Rockledge
FL 32955-3608
Practice Telephone 3218063929
Practice Fax Number 8773625010
Mailing Address 101 Eyster Blvd
Rockledge
FL 32955-3608
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-13
Last Update Date 2014-12-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207VG0400X Obstetrics & Gynecology · Gynecology Allopathic & Osteopathic Physicians E-0812 AR
Yes 207VF0040X Obstetrics & Gynecology · Female Pelvic Medicine and Reconstructive Surgery Allopathic & Osteopathic Physicians E-0812 AR

Other Provider Identifier

State Identifier Issuer Type Code
AR 160055036 OTHER MEDICARE RAILROAD
AR 134791001 MEDICAID

Other Providers KATRINA DAVIS

NPI Name Taxonomy Address Enumeration
1831586924 Katrina Lenae Davis Licensed Practical Nurse 17341 Kentfield St, Detroit, MI 48219-3425 2015-04-16
1447698154 Katrina Davis Licensed Practical Nurse 1401 Lee St, Midland, MI 48642-6596 2013-06-05
1730346487 Katrina Davis Counselor 1703 Grant St, # 1, Yakima, WA 98902-5280 2008-05-20
1619074184 Katrina Davis Case Manager/Care Coordinator 1239 E Main Street, Bartow, FL 33830 2006-09-19
1205311792 Katrina Davis Nurse Practitioner 201 N Church St, Medical Dept, Winston Salem, NC 27101 2018-10-01
1164872560 Katrina Davis Licensed Vocational Nurse 4099 Mcewen Rd, 200, Farmers Branch, TX 75244-5030 2016-06-16
1992168660 Katrina Davis Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2016-03-31
1063544930 Katrina Ellen Davis Nurse Practitioner 891 23rd St Ne, Salem, OR 97301 2007-03-09

Physician Overview

NPI 1306936893
PAC ID by PECOS 9335276146
Professional Enrollment ID I20141201001052
Full Name Katrina R Davis
Organization Legal Name MANASOTA OBGYN ASSOCIATES LLC
Phone Number 9413598300
Gender F
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1994
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 4486915519
Number of Group Practice Members 6
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100166 DOCTORS HOSPITAL OF SARASOTA
100087 SARASOTA MEMORIAL HOSPITAL
100077 BAYFRONT HEALTH PORT CHARLOTTE

Office Location

Street Address 101 EYSTER BLVD
City ROCKLEDGE
State FL
Zip Code 32955-3608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659565158 Karine Romain Nurse Practitioner 101 Eyster Blvd, Rockledge, FL 32955-3608 2007-08-29
1336216704 Marja J Sprock Obstetrics & Gynecology 101 Eyster Blvd, Rockledge, FL 32955 2006-11-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699261461 Brookview Manor Assisted Living Facility LLC Assisted Living Facility 882 Brookview Ln, Rockledge, FL 32955 2018-07-05
1750888970 Kaitlin Donovan Dentist 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 2018-04-13
1376042846 Courtney Ly Brady Occupational Therapist 6520 3rd Street, Rockledge, FL 32955 2018-02-09
1427563394 Suntree Orthopedics, LLC Orthopaedic Surgery 6525 3rd St Ste 302-303, Rockledge, FL 32955 2017-12-13
1629583976 Jim Fazio Massage Therapist 4083 South Ushighway 1, Suite 102, Rockledge, FL 32955 2017-12-08
1316456452 Speech Avenues Therapy Co Occupational Therapy Assistant 1237 Florida Ave S, Rockledge, FL 32955 2017-09-20
1518482686 Rachel Lee Beatty Nurse Practitioner 31 Bayshore Court, Rockledge, FL 32955 2017-08-09
1437671260 Martha Macy Brown Dentist 5364 Stadium Parkway, Rockledge, FL 32955 2017-07-13
1841712718 Stefania Cook Behavior Technician 4175 Us Highway 1 Ste 101, Rockledge, FL 32955 2017-07-12
1952850208 Crm of Florida, Inc Clinic/Center 182-b Barton Blvd, Rockledge, FL 32955 2016-09-28
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184189169 Bela Urogynecology LLC Obstetrics & Gynecology 1178 Cypress Glen Cir Ste 2, Kissimmee, FL 34741-7560 2019-02-04
1174016844 Mariana Bubucea Md.,p.a. Obstetrics & Gynecology 2500 E Hallandale Beach Blvd Ste 401, Hallandale Beach, FL 33009-4835 2018-06-07
1720474091 Womens Pelvic Health & Incontinence Solutions Inc Obstetrics & Gynecology 8451 Nw 78th Ct, Tamarac, FL 33321-1617 2015-04-13
1225453640 Sandhill Pelvic Health and Acupuncture LLC Obstetrics & Gynecology 1601 Clint Moore Rd Ste 210, Boca Raton, FL 33487-5716 2014-02-21
1780940973 Mcrichlands Pllc Obstetrics & Gynecology 1050 Old Camp Rd Ste 206, The Villages, FL 32162-1762 2012-04-02
1023243698 Jessica Rogers Obstetrics & Gynecology 9295 Scenic Hwy, Pensacola, FL 32514 2009-05-26
1346406345 Sarah M. St. Louis Obstetrics & Gynecology 70 W Gore St Ste 201, Orlando, FL 32806 2008-07-30
1487843520 Kristie A Greene Obstetrics & Gynecology 2 Tampa General Cir Fl Cir6, Tampa, FL 33606-3603 2007-10-15
1134214802 Christian Quintero Obstetrics & Gynecology 450 N Park Rd Ste 202, Hollywood, FL 33021-6987 2006-10-04
1174518401 Lee Brandon Epstein Obstetrics & Gynecology 228 3rd Avenue South, Suite 100, Jacksonville Beach, FL 32250 2005-09-13
Find all providers with the same taxonomy

Competitor

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City ROCKLEDGE
Zip Code 32955

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Dataset Information

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.

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