Michael L Davis (NPI# 1902855265, PAC ID# 1456263466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902855265 |
| PAC ID by PECOS | 1456263466 |
| Professional Enrollment ID | I20040130000101 |
| Full Name | Michael L Davis |
| Organization Legal Name | GLEN ROSE HEALTHCARE, INC |
| Address |
1021 Holden St Suite 200 Glen Rose TX 76043-4937 |
| Phone Number | 2548971645 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709986656 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450451 | GLEN ROSE MEDICAL CENTER |
| 450596 | LAKE GRANBURY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1008 Nebig Bend Trl, Glen Rose, TX 76043-4947 | 2548971471 | GLEN ROSE HEALTHCARE, INC |
| 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 | 2548971645 | GLEN ROSE HEALTHCARE, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 35% | |
| MIPS_EC_047_overall | Care Plan | 35% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% |
| Organization Legal Name | GLEN ROSE HEALTHCARE, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hernan Patino | General Surgery | Glen Rose Healthcare, Inc | 1008 Nebig Bend Trl, Glen Rose, TX 76043-4947 |
| Steven J Vacek | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Josie L Lopez | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Karen Burroughs | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Bruce David Carpenter | Family Medicine | Glen Rose Healthcare, Inc | 1008 Nebig Bend Trl, Glen Rose, TX 76043-4947 |
| Charles S Erck | General Surgery | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Albert J Turk Jr. | Family Practice | Glen Rose Healthcare, Inc | 1008 Nebig Bend Trl, Glen Rose, TX 76043-4947 |
| Street Address |
1021 HOLDEN ST SUITE 200 |
| City | GLEN ROSE |
| State | TX |
| Zip | 76043-4937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale R Lucus | Family Medicine | Fossil Rim Emergency Physicians Pllc | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Jason A Williams | Anesthesiology | Anesthesiology Consultants of North Texas Pa | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Steven J Vacek | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Josie L Lopez | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Karen Burroughs | Family Medicine | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Thomas Lawrence Walker | Emergency Medicine | Fossil Rim Emergency Physicians Pllc | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Cary B Clark | Emergency Medicine | Fossil Rim Emergency Physicians Pllc | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Emilia Zeller | Certified Registered Nurse Anesthetist (crna) | 1021 Holden St, Glen Rose, TX 76043-4937 | |
| Ziad A Abdo | General Surgery | Fossil Rim Emergency Physicians Pllc | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Kevin M Vanden Berge | Orthopedic Surgery | Vb Orthopaedics, Pa | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A Schmidt | Family Medicine | Hood Medical Group | 507 Sw Big Bend Trail, Glen Rose, TX 76043-4449 |
| Tony Hedges | Family Medicine | Hood Medical Group | 507 Sw Big Bend Trail, Glen Rose, TX 76043-4449 |
| Tyrus R Frerking | Interventional Cardiology | Hood Medical Group | 507 Sw Big Bend Trail, Glen Rose, TX 76043-4449 |
| Leslie Ross | Nurse Practitioner | Hood Medical Group | 507 Sw Big Bend Trail, Glen Rose, TX 76043-4449 |
| Cristal N Hall | Nurse Practitioner | Hood Medical Group | 507 Sw Big Bend Trail, Glen Rose, TX 76043-4449 |
| Cynthia Nance Daniels | Nurse Practitioner | Hood Medical Group | 1009 Ne Big Bend Trail, Lake Granbury Primare Care, Glen Rose, TX 76043-4450 |
| Jennifer J Cullen | Chiropractic | 605 Ne Big Bend Trl, Glen Rose, TX 76043-4866 | |
| Charles S Erck | General Surgery | Glen Rose Healthcare, Inc | 1021 Holden St, Suite 200, Glen Rose, TX 76043-4937 |
| Kyle T Demler | Emergency Medicine | Fossil Rim Emergency Physicians Pllc | 1021 Holden St, Glen Rose, TX 76043-4937 |
| Sean D Mccarthy | Psychiatry | 1021 Holden St, Glen Rose, TX 76043-4937 | |
| Find all physicians in zip 76043 | |||
| City | GLEN ROSE |
| Zip Code | 76043 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GLEN ROSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael L 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.