Sage Mari Davis (NPI# 1518361336, PAC ID# 4486976107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518361336 |
| PAC ID by PECOS | 4486976107 |
| Professional Enrollment ID | I20141209001199 |
| Full Name | Sage Mari Davis |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Address |
27776 Woodward Ave Royal Oak MI 48067-0930 |
| Phone Number | 2485564900 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254393549 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 559 W Grand Blvd, Detroit, MI 48216-2200 | 3135540485 | COVENANT COMMUNITY CARE, INC. |
| 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2485564900 | COVENANT COMMUNITY CARE, INC. |
| Organization Legal Name | COVENANT COMMUNITY CARE, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Byl | Physician Assistant | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Megan Justine Fincher | Nurse Practitioner | Covenant Community Care, Inc. | 20901 Moross Rd, Detroit, MI 48236-2058 |
| Sarah Fay Cornwell | Physician Assistant | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Laura Pfeiffer | Nurse Practitioner | Covenant Community Care, Inc. | 5716 Michigan Ave, Detroit, MI 48210-3039 |
| Susan G Smith | Nurse Practitioner | Covenant Community Care, Inc. | 18917 Joy Rd, Detroit, MI 48228-3050 |
| Marisa Rose Abbo | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Kai K Palm | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Lisa J Mcintosh | Obstetrics/gynecology | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Anna M Gladstone | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Sherwood D Pope | Family Medicine | Covenant Community Care, Inc. | 1700 Waterman St, Detroit, MI 48209-2022 |
| Street Address |
27776 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip | 48067-0930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Fay Cornwell | Physician Assistant | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Marisa Rose Abbo | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Terry M Calcut Jr. | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Linda M Dillon | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie P Williams | Psychologist, Clinical | 618 E Eleven Mile Rd, Transcendence Behavioral Health, Royal Oak, MI 48067 | |
| Joyce A Dixson-haskett | Clinical Social Worker | 26080 Woodward Ave, Royal Oak, MI 48067-0914 | |
| Poala D Prude Hall | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Paul D Krebsbach | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Nik Gjurashaj | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Sachin S Parikh | Cardiovascular Disease (cardiology) | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Rachel Lynn Carolan | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Raymond D Allard | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Michael J Zimmer | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Janice F Mcintosh | Certified Nurse Midwife | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Find all physicians in zip 48067 | |||
| City | ROYAL OAK |
| Zip Code | 48067 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROYAL OAK + NURSE PRACTITIONER |
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| 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.