Russell A Davis (NPI# 1679504021, PAC ID# 1456256106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1679504021 |
| PAC ID by PECOS | 1456256106 |
| Professional Enrollment ID | I20050701000588 |
| Full Name | Russell A Davis |
| Organization Legal Name | DLP TWIN COUNTY PHYSICIAN PRACTICES LLC |
| Address |
961 E Stuart Dr Galax VA 24333-2407 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7214199512 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490115 | TWIN COUNTY REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 961 E Stuart Dr, Galax, VA 24333-2407 | DLP TWIN COUNTY PHYSICIAN PRACTICES LLC |
| Organization Legal Name | DLP TWIN COUNTY PHYSICIAN PRACTICES LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Blevins-sprinkle | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 217 S Independence Ave, Independence, VA 24348-2802 |
| Robert Charles Menezes Jr. | Internal Medicine | Dlp Twin County Physician Practices LLC | 702 Pine St, Hillsville, VA 24343-1405 |
| Patricia G Osborne | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Scott M Fowler | Family Medicine | Dlp Twin County Physician Practices LLC | 104 Cranberry Rd, Suite 200a, Galax, VA 24333-2516 |
| Ronda Blevins | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 179 Combs St, Sparta, NC 28675-8429 |
| Brenda H Worrell | Clinical Social Worker | Dlp Twin County Physician Practices LLC | 500 Glendale Rd, Galax, VA 24333-2208 |
| Daisy M Edwards | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| William W Peery | General Surgery | Dlp Twin County Physician Practices LLC | 225 Hospital Dr, Galax, VA 24333-2228 |
| Wei Wei | General Surgery | Dlp Twin County Physician Practices LLC | 225 Hospital Dr, Galax, VA 24333-2228 |
| John Gottfried Mayer | Orthopedic Surgery | Dlp Twin County Physician Practices LLC | 106 Doctors Park, Galax, VA 24333-2276 |
| Street Address |
961 E STUART DR |
| City | GALAX |
| State | VA |
| Zip | 24333-2407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia G Osborne | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Daisy M Edwards | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Heather D Richardson | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Bonnie C Taylor | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Janet H Garvey | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| April D Croston | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Angelica Perry | Family Practice | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Gil Pamittan Binarao Jr. | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Mary C Meyers | Pediatric Medicine | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Belle J Dalton | Pediatric Medicine | Dlp Twin County Physician Practices LLC | 961 E Stuart Dr, Galax, VA 24333-2407 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack Ambers Quesenberry | Physical Therapy | Pt Solutions LLC | 106 W Stuart Dr, Galax, VA 24333-2114 |
| Brian J Harder | Physical Therapy | Pt Solutions LLC | 106 W Stuart Dr, Galax, VA 24333-2114 |
| James Clark Williams | Physical Therapy | Pt Solutions LLC | 106 W Stuart Dr, Galax, VA 24333-2114 |
| Sarah Ann Sharp | Physical Therapy | Pt Solutions LLC | 106 W Stuart Dr, Galax, VA 24333-2114 |
| Josee R Williams | Physical Therapy | Galax Rehabilitation Services, Inc. | 106 W Stuart Dr, Galax, VA 24333-2114 |
| Martha Louise Wilson | Dermatology | Skin Surgery Center Pa | 104 E Stuart Dr, Galax, VA 24333-2119 |
| Linda Laws | Nurse Practitioner | Skin Surgery Center Pa | 104 E Stuart Dr, Galax, VA 24333-2119 |
| Brenda H Worrell | Clinical Social Worker | Dlp Twin County Physician Practices LLC | 500 Glendale Rd, Galax, VA 24333-2208 |
| Tk Reese | Psychiatry | Dlp Twin County Physician Practices LLC | 500 Glendale Rd, Galax, VA 24333-2208 |
| Jacquelyn Marie Thayer | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 500 Glendale Rd, Galax, VA 24333-2208 |
| Find all physicians in zip 24333 | |||
| City | GALAX |
| Zip Code | 24333 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GALAX + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Russell A 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.