DR. RUSSELL EMMETT DAVENPORT III


Address: 275 Beatty Dr, Belmont, NC 28012-2715
Phone: 7045123475

DR. RUSSELL EMMETT DAVENPORT III (NPI# 1881012441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881012441
Entity Type Individual
Full Name DR. RUSSELL EMMETT DAVENPORT III
Credential M.D.
Practice Address 275 Beatty Dr
Belmont
NC 28012-2715
Mailing Address 1515 Mockingbird Ln Ste 680
Charlotte
NC 28209-3236
Practice Telephone 7045123475
Mailing Telephone 7043775772
Enumeration Date 2014-04-01
Last Update Date 2019-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
82514 SC Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
0101265575 VA Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
2019-01531 NC Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
2019-01531 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1215 Lee St, 800710, Charlottesville, VA 229080816 4349820629 4349820019

Office Location

Street Address 275 BEATTY DR
City BELMONT
State NC
Zip Code 28012-2715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831106152 Paitra M Modlin Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2006-08-01
1144642455 Sarah Vance Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2014-01-07
1396166088 Carolinas Physicians Network Inc Internal Medicine 275 Beatty Dr, Belmont, NC 28012-2715 2013-12-23
1982952867 Jenny M Spears Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2012-08-27
1093063372 Angela H Abernethy Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2012-08-17
1114298221 Megan L Thomas Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2012-01-20
1821373929 Valerie B Karnofsky Occupational Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2011-10-20
1033494133 Lauren N Kohn Occupational Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2011-10-20
1871887539 Lindsay Falcon Dow Occupational Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2011-05-30
1811206907 Erin M Laurie Physical Therapist 275 Beatty Dr, Belmont, NC 28012-2715 2010-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902447873 Lisa Emi Mclemore Technician 704 Armstrong Rd, Belmont, NC 28012 2019-10-02
1902453244 Eli Zipkin Dentist 965 South Point Road, Belmont, NC 28012 2019-08-21
1457879892 Sharon H Miller Acupuncturist 684 Park St, Belmont, NC 28012 2017-09-06
1083138242 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 905 South Point Rd, Belmont, NC 28012 2017-07-31
1285079533 Edoardo Pate Chiropractor 6021 W Wilkinson Blvd, Belmont, NC 28012 2013-04-30
1023367430 Abby C Blowe Dds Pa Dentist 8024 Water View Drive, Belmont, NC 28012 2012-08-30
1972885598 Michelle Marie Watkins Counselor 32 N Main St Ste 204, Belmont, NC 28012 2011-09-10
1598050791 Lauren Swafford Pharmacist 6750 Wilkinson Boulevard, Belmont, NC 28012 2011-06-15
1316264831 Evelyn Maiers Bailey Respiratory Therapist, Certified 230 River Loop Rd, Belmont, NC 28012 2010-04-23
1376866079 Metrolina Psychotherapy Associates P.a. Social Worker 1212 Spruce St., Suite 315, Belmont, NC 28012 2010-03-09
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790305241 Carolinas Pain Institute, Pa Pain Medicine 330 Billingsley Rd Ste 210, Charlotte, NC 28211-5055 2020-04-24
1841767225 Comprehensive Pain Consultants of The Carolinas, Pllc Pain Medicine 108 Monticello Rd, Weaverville, NC 28787-8936 2018-10-24
1972085918 Dynamic Health Medical Group Pllc Pain Medicine 4705 South Blvd, Charlotte, NC 28217 2018-09-06
1891151726 Latoya Long-gregory Pain Medicine 108 S Main St Ste F, Davidson, NC 28036-8096 2016-01-07
1154485977 Veronica L Alston Pain Medicine Joel Health Clinic Bldg 4851, Fort Bragg, NC 28310-0001 2006-12-20
1407860638 Miles D Hyman Pain Medicine 1018 E Main St, Franklin, NC 28734-2676 2006-07-27
1689627200 Aaron H Gootman Pain Medicine 1840 Owen Dr, Fayetteville, NC 28304-1633 2006-05-17
1275511966 Mark Lucas Phillips Pain Medicine 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 2006-01-04
1275510570 David Spivey Pain Medicine 2912 Maplewood Ave, Winston-salem, NC 27103-1507 2005-12-28
1326033879 Steven K Brockman Pain Medicine 1112 Yancey St, Shelby, NC 28150-3672 2005-09-12
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Competitor

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City BELMONT
Zip Code 28012

Improve Information

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Dataset Information

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.

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