MR. TERRY G DAVIS (NPI# 1114993904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114993904 |
| Entity Type | Individual |
| Full Name | MR. TERRY G DAVIS |
| Credential | PA |
| Practice Address |
Blanchfield Army Community Hospital 650 Joel Dr. Fort Campbell KY 42223 |
| Practice Telephone | 2707988372 |
| Mailing Telephone | 2707988372 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00485 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730344466 | Terry L Davis | Pharmacist | 11286 Crofton Cir, Waynesboro, PA 17268-8825 | 2008-07-22 |
| 1093837916 | Terry L. Davis | Optometrist | 8013 N Point Blvd, Winston Salem, NC 27106-3203 | 2007-04-03 |
| 1902935778 | Terry D'wayne Davis | Emergency Response System Companies | 3816 Piedmont Rd, Fort Worth, TX 76116 | 2007-03-05 |
| 1588777189 | Terry Mark Davis | Dentist | 1329 Barton Rd., Suite A, Redlands, CA 92373 | 2006-08-16 |
| 1972519841 | Terry W Davis | Dentist | 14331 E Jackson St, Parker City, IN 47368-9401 | 2006-07-31 |
| 1093737371 | Terry Davis | Physician Assistant | 6170 N Durango Dr Ste 120, Las Vegas, NV 89149-3923 | 2006-07-24 |
| 1134192982 | Terry Gail Davis | Dental Hygienist | 5601 W Clearwater, #109, Kennewick, WA 99336 | 2006-02-10 |
| 1497306781 | Terry Joe Davis | Nurse Practitioner | 2300 Dawson Rd Ste 101, Albany, GA 31707-2804 | 2019-09-27 |
| 1629450895 | Terry Davis | Counselor | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2015-06-24 |
| 1235493479 | Terry Davis | Social Worker | 2701 W Oakland Park Blvd, Suite 225c, Oakland Park, FL 33311-1388 | 2012-07-03 |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR. |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776991 | Gordon Troy Prairie | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-01-28 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| 1598390452 | Raymond L. Hernandez | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2020-03-11 |
| 1053801886 | Mark Leon Siebe | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-05-17 |
| 1891283842 | Blake Adam Glynn | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-04-25 |
| 1407363575 | Sean Patrick Casey Stewart | Pharmacist | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-01-10 |
| 1871020081 | Marquita Sheree Barr | Social Worker | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2017-05-18 |
| 1346776465 | Curtiss Mills | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 | 2017-05-10 |
| 1497295240 | Sarahlouise Perez | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2017-02-27 |
| 1134675481 | Joseph Flynn Drevlow | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174589782 | Desiree L Johnson | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429620 | Hannah Johnson | Physician Assistant | 4359 New Shepherdsville Rd Unit 245, Bardstown, KY 40004-8004 | 2015-10-13 |
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1255463196 | Robert Louis Boden | Physician Assistant | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-03-09 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on MR. TERRY G DAVIS.
| 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.