DR. JOHN THOMAS DAVIS (NPI# 1063436756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063436756 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS DAVIS |
| Credential | MD |
| Practice Address |
510 Lincoln Drive Herrin IL 62948 |
| Practice Telephone | 6189976800 |
| Practice Fax Number | 6189971187 |
| Mailing Telephone | 6189976800 |
| Mailing Fax Number | 6189971187 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036-115943 | IL | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | 036115943 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905808 | John Howard Davis | Peer Specialist | 540 W Wallace St, Shawnee, OK 74801-5722 | 2020-06-04 |
| 1740811488 | John Leslie Davis | Pharmacist | 5208 Ellen Jayne Way, Midland, TX 79707-1613 | 2020-01-31 |
| 1114402161 | John A Davis | Hearing Instrument Specialist | 216 Phoenix Ct Ste C, Seymour, TN 37865-3914 | 2018-09-26 |
| 1790273720 | John Patrick Davis | Counselor | 10 E New York Ave Ste 1, Somers Point, NJ 08244-2367 | 2018-04-25 |
| 1154821049 | John Davis | Case Manager/Care Coordinator | 627 Bailey Chapel Rd, Piketon, OH 45661-9675 | 2018-02-16 |
| 1619487386 | John E Davis | Counselor | 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 | 2017-10-06 |
| 1093234684 | John Davis | Dentist | 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 | 2017-09-14 |
| 1306384276 | John Chase Davis | Behavior Technician | 8315 6th Pl Se, Lake Stevens, WA 98258-3688 | 2017-02-10 |
| 1598170276 | John Davis | Licensed Practical Nurse | 10271 Dresden Rd, Dresden, OH 43821-9446 | 2014-06-21 |
| 1396174751 | John Davis Sr. | Registered Nurse | 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 | 2013-11-06 |
| Street Address |
510 LINCOLN DRIVE |
| City | HERRIN |
| State | IL |
| Zip Code | 62948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008754 | Bret Hunter Miller | Orthopaedic Surgery | 510 Lincoln Drive, Herrin, IL 62948-6334 | 2005-07-22 |
| 1659890069 | Nicole L Cheek | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62901 | 2017-09-18 |
| 1578923660 | Kaily Marie Palmer | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62948 | 2016-03-02 |
| 1841447026 | Richard P Vicenzi | Specialist/Technologist | 510 Lincoln Drive, Herrin, IL 62948 | 2008-08-19 |
| 1295998011 | Jeffery M. Jones | Neurological Surgery | 510 Lincoln Drive, Herrin, IL 62948 | 2008-07-02 |
| 1518152404 | Eric Jay Osman | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62948 | 2007-09-13 |
| 1386716884 | Jeremy Dale Palmer | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-11-14 |
| 1154425882 | John B Wood | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1063516797 | James Michael Davis | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1215031943 | Steven D Young | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336243062 | William K Harryman IIi | Orthopaedic Surgery | 25 Deer Run, Southern Il Orthopedic Consultants, Herrin, IL 62948-2468 | 2006-09-12 |
| 1922008754 | Bret Hunter Miller | Orthopaedic Surgery | 510 Lincoln Drive, Herrin, IL 62948-6334 | 2005-07-22 |
| 1013163120 | Swastik Kumar Sinha | Orthopaedic Surgery | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2008-08-08 |
| 1386716884 | Jeremy Dale Palmer | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-11-14 |
| 1154425882 | John B Wood | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1063516797 | James Michael Davis | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1972607604 | Richard L Morgan | Orthopaedic Surgery | 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1215031943 | Steven D Young | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1952418089 | Stephen H Jackson | Orthopaedic Surgery | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2006-08-24 |
| 1295842870 | Thomas West Davis | Orthopaedic Surgery | 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948-6334 | 2006-08-23 |
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| 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.