Michelle M. Davis, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14461R Issued in LA

Legal business name

MICHELLE M. DAVIS, LLC

Practice address

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489

Phone

(504) 712-7000

Fax

(504) 712-7040

NPI assigned

Apr 5, 2007

Last updated

May 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Mireille Davis, M.D.NPI 1104898576

Title

Physician

Phone

(504) 712-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Mireille Davis, M.D.

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1104898576
  Medicare reassignment NPD Authorized official
• Wendy V Jamison, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Metairie, LA
  • NPI 1235138645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1760504120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE M. DAVIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MIREILLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-712-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14461R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Concepcion Merto, PT
• Micah J Metrailer, CRNA
• Meyers Transportation LLC
• Randell M Meyers
• Mhac-No
• Seaira-Myangel Emily Miles, DDS
• Janel Milton Isom, FNP-C
• Kenneth Milton, DPT
• Nina Leigh Mimbs, MD
• Donavan D Mitchell

• Family Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.