Brooke Davis (NPI# 1235686759, PAC ID# 5092093526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235686759 |
| PAC ID by PECOS | 5092093526 |
| Professional Enrollment ID | I20161103000368 |
| Full Name | Brooke Davis |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Address |
1302 Franklin Ave Normal IL 61761-3595 |
| Phone Number | 3094545900 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143216630 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140091 | THE CARLE FOUNDATION HOSPITAL |
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 912 N Henrietta St, Effingham, IL 62401-1788 | 2173423337 | CARLE HEALTH CARE INCORPORATED |
| 1302 Franklin Ave, Normal, IL 61761-3595 | 3094545900 | DIGESTIVE DISEASE CONSULTANTS LTD |
| 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 | 3094545900 | DIGESTIVE DISEASE CONSULTANTS LTD |
| 611 W Park St, Urbana, IL 61801-2500 | 8887122753 | CARLE HEALTH CARE INCORPORATED |
| Organization Legal Name | DIGESTIVE DISEASE CONSULTANTS LTD |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Clark | Gastroenterology | Digestive Disease Consultants Ltd | 422 W White St, Clinton, IL 61727-2272 |
| Vijay Laxmi Misra | Gastroenterology | Digestive Disease Consultants Ltd | 101 S Major, Eureka, IL 61530-1246 |
| Kenneth R Schoenig | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Amiy J Stites | Physician Assistant | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Thomas M Deweert | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Philip M Koszyk | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Street Address |
1302 FRANKLIN AVE |
| City | NORMAL |
| State | IL |
| Zip | 61761-3595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Svientek | Obstetrics/gynecology | Susan Svientek, Md, Sc | 1302 Franklin Ave, Suite 2200, Normal, IL 61761-6500 |
| Kenneth R Schoenig | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Amiy J Stites | Physician Assistant | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Thomas M Deweert | Gastroenterology | Digestive Disease Consultants Ltd | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3595 |
| Jared K Zotz | Obstetrics/gynecology | Heart of Illinois Obstetrics and Gynecology, S.c. | 1302 Franklin Ave, Suite 2800, Normal, IL 61761-6526 |
| Ellen T Haas | Obstetrics/gynecology | Susan Svientek, Md, Sc | 1302 Franklin Ave, Suite 2200, Normal, IL 61761-6500 |
| Rachel M H Dalton | Obstetrics/gynecology | Heart of Illinois Obstetrics and Gynecology, S.c. | 1302 Franklin Ave, Suite 2800, Normal, IL 61761-6526 |
| Abigail Grace Cervantes | Nurse Practitioner | Heart of Illinois Obstetrics and Gynecology, S.c. | 1302 Franklin Ave, Suite 2800, Normal, IL 61761-6526 |
| Laurie J Mcatee | Certified Registered Nurse Anesthetist (crna) | Prairieland Outpatient Diagnostic Center LLC | 1302 Franklin Ave, Suite 1000, Normal, IL 61761-6506 |
| Juanita Smith | Certified Registered Nurse Anesthetist (crna) | Prairieland Outpatient Diagnostic Center LLC | 1302 Franklin Ave, Suite 1000, Normal, IL 61761-6506 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrie J Seip | Clinical Social Worker | 2000 N Linden, J102, Normal, IL 61761 | |
| Emily Hallstein | Speech Language Pathologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Alison Leigh Sherren | Audiologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Julie L Burns | Speech Language Pathologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Jacqueline R Mcclure | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Kimberly L Adelman | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Candice Jo Maddox Osenga | Qualified Audiologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Megan M Hemmer | Qualified Audiologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Jaime Ellsworth | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Patricia L Larkin | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Find all physicians in zip 61761 | |||
| City | NORMAL |
| Zip Code | 61761 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORMAL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brooke 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.