CRAIG R DAVENPORT (NPI# 1508064932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508064932 |
| Entity Type | Individual |
| Full Name | CRAIG R DAVENPORT |
| Credential | M.D. |
| Practice Address |
320 N Madison St Pittsfield IL 62363-1412 |
| Practice Telephone | 2172856981 |
| Mailing Telephone | 2172856981 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036135436 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 38201 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R-8205 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1508064932 | 05 |
| Street Address |
320 N MADISON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761724 | Melissa Lenderman | Physician Assistant | 320 N Madison St, Pittsfield, IL 62363 | 2006-06-25 |
| 1639711120 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 320 N Madison St, Pittsfield, IL 62363-1412 | 2019-10-16 |
| 1861928491 | Alexis N. Murk | Registered Nurse | 320 N Madison St, Pittsfield, IL 62363 | 2017-05-02 |
| 1639546815 | Jessica Bentele | Social Worker | 320 N Madison St, Pittsfield, IL 62363-1412 | 2015-08-24 |
| 1972907848 | Laura A Wroge | Physician Assistant | 320 N Madison St, Pittsfield, IL 62363 | 2014-10-21 |
| 1912269614 | Sarah Jane Knight | Physical Therapist | 320 N Madison St, Pittsfield, IL 62363-1412 | 2012-06-09 |
| 1053556647 | Kendra Jo Conkright | Internal Medicine | 320 N Madison St, Pittsfield, IL 62363-1412 | 2008-12-10 |
| 1891831566 | Sebastian Baginski | Family Medicine | 320 N Madison St, Pittsfield, IL 62363-1412 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962671909 | Jose M Heisecke | Family Medicine | 777 North St Ste 407, Pittsfield, MA 01201-4172 | 2008-02-25 |
| 1972646354 | Richard F Clarke | Family Medicine | Bchoc Medical Department, Cheshire Road, Pittsfield, MA 01201 | 2007-02-15 |
| 1184777849 | Pittsfield Medical & Surgical, Pa | Family Medicine | 44 Loudon Rd, Pittsfield, NH 03263-3604 | 2007-01-18 |
| 1891808994 | Howard R Margolskee,md Pa | Family Medicine | 84 Somerset Ave, Pittsfield, ME 04967-1314 | 2006-08-16 |
| 1407809239 | John Francis Barksdale | Family Medicine | 44 Loudon Road, Pittsfield, NH 03263-3604 | 2006-05-19 |
| 1689632556 | Craig R Kirby | Family Medicine | 20 Elm St, Family Practice Assoc., Pittsfield, MA 01201-6502 | 2006-05-02 |
| 1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
| 1083604433 | Mehernosh Pheroze Khan | Family Medicine | 631b North Street, Pittsfield, MA 01201-4109 | 2005-10-26 |
| 1255331229 | Ronald L Johnson | Family Medicine | 320 N Madison, Pittsfield, IL 62363 | 2005-07-29 |
| 1447258561 | Giro Richard Samale | Family Medicine | 510 North Street, Pittsfield, MA 01201 | 2005-07-12 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
Please comment or provide details below to improve the information on CRAIG R DAVENPORT.
| 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.