Shane G Davis (NPI# 1033170725, PAC ID# 0840279634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1033170725 |
| PAC ID by PECOS | 0840279634 |
| Professional Enrollment ID | I20040715000808 |
| Full Name | Shane G Davis |
| Address |
13040 State Route 12 Boonville NY 13309-4942 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13040 State Route 12, Boonville, NY 13309-4942 |
| Street Address |
13040 STATE ROUTE 12 |
| City | BOONVILLE |
| State | NY |
| Zip | 13309-4942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toby K Davis | Psychologist, Clinical | Po Box, Suite 696, Boonville, NY 13309-0696 | |
| Timothy F Dowling | Clinical Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | |
| Elizabeth A Davis | Clinical Social Worker | 137 Main St, Boonville, NY 13309-1309 | |
| Adam F Seigers | Family Medicine | Faxton - St Lukes Healthcare | 13460 State Route 12, Boonville, NY 13309-3531 |
| Corrine E Reed | Nurse Practitioner | Rome Memorial Hospital, Inc. | 13407 State Route 12, Boonville, NY 13309-4954 |
| Diana L Carpenter | Nurse Practitioner | Rome Memorial Hospital, Inc. | 13407 State Route 12, Boonville, NY 13309-4954 |
| Amanda J Lampman | Nurse Practitioner | Rome Memorial Hospital, Inc. | 13407 State Route 12, Boonville, NY 13309-4954 |
| City | BOONVILLE |
| Zip Code | 13309 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOONVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Shane G Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.