Anthony C Davis (NPI# 1154546166, PAC ID# 3173674116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1154546166 |
| PAC ID by PECOS | 3173674116 |
| Professional Enrollment ID | I20090702000077 |
| Full Name | Anthony C Davis |
| Organization Legal Name | ST MARYS PHYSICIAN SERVICES LLC |
| Address |
1808 W Main St Russellville AR 72801-2724 |
| Phone Number | 4799682841 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4981698032 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| 040011 | CHAMBERS MEMORIAL HOSPITAL |
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| 041324 | CHI ST VINCENT MORRILTON |
| Address | Phone | Organization |
|---|---|---|
| 1808 W Main St, Russellville, AR 72801-2724 | 4799682841 | ST MARYS PHYSICIAN SERVICES LLC |
| 220 N Phoenix Ave, Russellville, AR 72801-2826 | 4798800101 | DAVIS NEUROLOGY, PLLC |
| Organization Legal Name | ST MARYS PHYSICIAN SERVICES LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C. Dobratz | Internal Medicine | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| James Albert Johnson | General Surgery | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Nathan R Henderson | Family Medicine | St Marys Physician Services LLC | 8970 Market St, Dover, AR 72837-9110 |
| Jody C Callaway | Obstetrics/gynecology | St Marys Physician Services LLC | 105 Skyline Dr, Russellville, AR 72801-3363 |
| Timothy Samuel Johnson | Family Medicine | St Marys Physician Services LLC | 1601 N Church St, Millard Henry Clinic, Atkins, AR 72823-3234 |
| Sara Damron | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Janet K Corbett | Family Medicine | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Jennifer Jacobs | Nurse Practitioner | St Marys Physician Services LLC | 1601 N Church St, Millard Henry Clinic, Atkins, AR 72823-3234 |
| Thomas Reinsvold | Interventional Cardiology | St Marys Physician Services LLC | 2205 W Main St, Cardiology Assoc of North Central Arkansas, Russellville, AR 72801-2759 |
| Noma W Kellner | Nurse Practitioner | St Marys Physician Services LLC | 101 Skyline Dr, Russellville, AR 72801-3363 |
| Street Address |
1808 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72801-2724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina D Prince | Certified Registered Nurse Anesthetist (crna) | Arkansas Valley Anesthesia Associates Pa | 1808 W Main St, St Marys Regional Medical Center, Russellville, AR 72802-2724 |
| Clayton H Nash | Family Medicine | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| William C Kindrick | Psychiatry | Horizon Mental Health Management LLC | 1808 W Main St, Turning Point Behavioral Health St. Mary's Region, Russellville, AR 72801-2724 |
| Sara Damron | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Lindsey Sharp | Nurse Practitioner | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| Milo Nelson Warner | General Surgery | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| Rande Brooke Rye | Nurse Practitioner | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Kim Graves | Family Medicine | St Marys Physician Services LLC | 1808 W Main St, Russellville, AR 72801-2724 |
| Douglas S Kerin | Diagnostic Radiology | Radiologists of Russellville Pa | 1808 W Main St, Russellville, AR 72801-2724 |
| Brian Edward Downen | Emergency Medicine | Arkansas Emergency Physician Associates Pa | 1808 W Main St, St Mary Reg Med Ctr, Russellville, AR 72801-2724 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Anne Kersh | Registered Dietitian Or Nutrition Professional | 3205 W Main St, Russellville, AR 72801-2301 | |
| Melia R Robertson | Optometry | 3715 W Main St, Russellville, AR 72801-2311 | |
| Andrew M Monfee | Family Medicine | 3812 W Main St, Russellville, AR 72801-2314 | |
| Kenneth Gathright | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Jim Lieblong | Optometry | 2800 W Main St, Russellville, AR 72801-2449 | |
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Darrell S Gray Jr. | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Find all physicians in zip 72801 | |||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
| Specialty | NEUROLOGY |
| City + Specialty | RUSSELLVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Anthony C 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.