Terry E Davenport (NPI# 1710974191, PAC ID# 5092857029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710974191 |
| PAC ID by PECOS | 5092857029 |
| Professional Enrollment ID | I20100128000563 |
| Full Name | Terry E Davenport |
| Organization Legal Name | BENEWAH COMMUNITY HOSPITAL |
| Address |
229 S 7th St St Maries ID 83861-1803 |
| Phone Number | 2082455551 |
| Gender | M |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850200700 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131317 | BENEWAH COMMUNITY HOSPITAL |
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 229 S 7th St, St Maries, ID 83861-1803 | 2082455551 | BENEWAH COMMUNITY HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 79% | |
| MIPS_EC_438_overall | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 74% |
| Organization Legal Name | BENEWAH COMMUNITY HOSPITAL |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie N Baker | Nurse Practitioner | Benewah Community Hospital | 229 S 8th St, St Maries, ID 83861-1813 |
| Michael G Melendez | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Taylor F Reichel | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Street Address |
229 S 7TH ST |
| City | ST MARIES |
| State | ID |
| Zip | 83861-1803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Melendez | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Leslie C Rogers | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Magdalena Sneddon | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor F Reichel | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Larsen | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| David E Moody | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Edward G Moellmer | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Richard K Thurston | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Rebecca L Jackson | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Jenny F Hicks | Physical Therapy | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| John R Katovich | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Stephanie N Baker | Nurse Practitioner | Benewah Community Hospital | 229 S 8th St, St Maries, ID 83861-1813 |
| Gary R Little | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Find all physicians in zip 83861 | |||
| City | ST MARIES |
| Zip Code | 83861 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST MARIES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Terry E Davenport.
| 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.