DR. JEROME ALFRED DAVIS M.D. NPI 1003039975

Specialist in Plattsburgh, NY

NPI 1003039975 Individual Male Specialist

About JEROME DAVIS

Jerome Davis is a provider established in Plattsburgh, New York and his medical specialization is specialist. The NPI number of Jerome Davis is 1003039975 and was assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 60-100430 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Jerome Davis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003039975

Provider NameDR. JEROME ALFRED DAVIS M.D.
Provider Location Address101 BROAD ST PLATTSBURGH, NY 12901
Provider Mailing Address52 COOPER DR PLATTSBURGH, NY 12901
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-10-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.60-100430
License StateNY
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

DR. JEROME ALFRED DAVIS M.D.
101 BROAD ST
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 564-2187
Fax: (518) 564-2188

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Mailing Address

DR. JEROME ALFRED DAVIS M.D.
52 COOPER DR
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 561-4791
Fax: (518) 564-2188



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447221064PLATTSBURGH STATE UNIVERSITY SPEECH AND HEARING CENTER
Organization
Clinic/Center (Hearing and Speech)101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1588752539DR. MICHAEL DAVID MORGAN PH.D., CCC-SLP
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1184712150DR. SUZANNE MARY HUNGERFORD PH.D., CCC-SLP
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1407945868DR. RAYMOND ANTHONY DOMENICO PH.D., CCC-SLP
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1699864082MS. NANCY DOROTHY ALLEN M.A., CCC-SLP
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1952461956SUNY PLATTSBURGH NYSACAC DAY
Organization
Day Training, Developmentally Disabled Services101 BROAD ST SPONSORED RESEARCH
PLATTSBURGH, NY 12901
(518) 564-3137
1861525867MRS. JILL M SILVER FNP
Individual
Nurse Practitioner (Family)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-2187
1801916267DR. KATHLEEN MARIE CAMELO M.D.
Individual
Clinic/Center (Student Health)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-2187
1659572683DR. HARVEY IRA HURWITZ M.D.
Individual
Internal Medicine101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-2187
1487852687DR. PATRICK COPPENS PH.D., CCC-SLP
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1295910552MRS. VERA S DELORME M.A.
Individual
Speech-Language Pathologist101 BROAD ST 224 SIBLEY HALL
PLATTSBURGH, NY 12901
(518) 564-2170
1932424207MR. JASON A. PACHTER MA, ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-3089
1982971941PLATTSBURGH STATE UNIVERSITY
Organization
Clinical Neuropsychologist101 BROAD ST BEAMONT 404
PLATTSBURGH, NY 12901
(518) 564-2155
1780006320 AMANDA GOODFELLOW LMSW
Individual
Social Worker101 BROAD ST RESEARCH FOUNDATION OF SUNY
PLATTSBURGH, NY 12901
(518) 564-3377
1093115107DR. LACI CHARETTE PSY.D.
Individual
Psychologist (School)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-3385
1720475239MS. VALARIE LYNN DROWN L.M.H.C.
Individual
Counselor (Mental Health)101 BROAD ST 260 BEAUMONT HALL
PLATTSBURGH, NY 12901
(518) 564-3368
1235775768MRS. LISA ANN VICENCIO ATC
Individual
Specialist/Technologist (Athletic Trainer)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-4152
1205185352DR. KELLI CALDWELL MILLER PH.D.
Individual
Psychologist (School)101 BROAD ST
PLATTSBURGH, NY 12901
(518) 564-3380
1578623575PLATTSBURGH STATE TBI
Organization
Case Management101 BROAD ST PSYCHOLOGY DEPT
PLATTSBURGH, NY 12901
(518) 564-3137
1851453971SUNY PLATTSBURGH NYSADAC HCBS
Organization
Day Training, Developmentally Disabled Services101 BROAD ST SPONSORED RESEARCH
PLATTSBURGH, NY 12901
(518) 564-3137

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.