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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1215 Lee St, 800710, Charlottesville, VA 229080816 | 4349820629 | 4349820019 |
Street Address |
275 BEATTY DR |
City | BELMONT |
State | NC |
Zip Code | 28012-2715 |
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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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 Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
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. |
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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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.