Craig R Davenport (NPI# 1508064932, PAC ID# 6204965049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508064932 |
| PAC ID by PECOS | 6204965049 |
| Professional Enrollment ID | I20140929000354 |
| Full Name | Craig R Davenport |
| Organization Legal Name | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Address |
320 N Madison St Pittsfield IL 62363-1412 |
| Phone Number | 2172859601 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749192375 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141315 | ILLINI COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 320 N Madison St, Pittsfield, IL 62363-1412 | 2172859601 | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Organization Legal Name | QUINCY PHYSICIANS AND SURGEONS CLINIC, SC |
| Physicians | 193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Zinn | Qualified Speech Language Pathologist | Quincy Physicians and Surgeons Clinic, Sc | 1603 Morgan St, Suite 3, Keokuk, IA 52632-3433 |
| Adam Rafi | Interventional Cardiology | Quincy Physicians and Surgeons Clinic, Sc | 1118 Hampshire St, Quincy, IL 62301-3027 |
| Laura E Garrett | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 521 E Main St, Mount Sterling, IL 62353-1378 |
| Peter P Perll | General Surgery | Quincy Physicians and Surgeons Clinic, Sc | 1450 N County Rd 2050, Carthage, IL 62321-3551 |
| Erin Mj Sheffield | Oral Surgery | Quincy Physicians and Surgeons Clinic, Sc | 3915 Maine St, Suite 3, Quincy, IL 62305-5843 |
| Kelly A Durst-sharpe | Optometry | Quincy Physicians and Surgeons Clinic, Sc | 1125 Hampshire St, Quincy, IL 62301-3026 |
| Jamey L Washburn | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 1425 Morgan St, Keokuk, IA 52632-4000 |
| Kendra J Conkright | Internal Medicine | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Jessica L Bentele | Clinical Social Worker | Quincy Physicians and Surgeons Clinic, Sc | 868 Mortimer St, Barry, IL 62312-1249 |
| Ryan D Owens | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 105 E Quincy St, Quincy Medical Group, Lewistown, MO 63452-2560 |
| Street Address |
320 N MADISON ST |
| City | PITTSFIELD |
| State | IL |
| Zip | 62363-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra J Conkright | Internal Medicine | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Rachel E Hancock | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Makenzie K Shipman | Clinical Social Worker | Mental Health Centers of Western Illinois | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 |
| Christina Cunningham | Clinical Social Worker | Mental Health Centers of Western Illinois | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 |
| Jason P Guthrie | Rheumatology | Springfield Clinic LLP | 640 W Washington, Pittsfield, IL 62363-1350 |
| Mohamed I Jabri | Hospitalist | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| David Stewart Glasgow | Emergency Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Robert Thomas | Family Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Sherri White | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Ginger Torrez | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Laura Hull | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Lyndell Lomax | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Find all physicians in zip 62363 | |||
| City | PITTSFIELD |
| Zip Code | 62363 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PITTSFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Craig R 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.