Mark Davis (NPI# 1386646800, PAC ID# 6305936428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1386646800 |
| PAC ID by PECOS | 6305936428 |
| Professional Enrollment ID | I20071213000186 |
| Full Name | Mark Davis |
| Organization Legal Name | PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC |
| Address |
1951 B Tamiami Trl Port Charlotte FL 33948-2112 |
| Phone Number | 9416133800 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2264531532 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1951 B Tamiami Trl, Port Charlotte, FL 33948-2112 | 9416133800 | PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Kay Fadness | Psychiatry | Punta Gorda Hma Physician Management LLC | 733 E Olympia Ave, Punta Gorda, FL 33950-3841 |
| Phillip V Carracher | Clinical Social Worker | Punta Gorda Hma Physician Management LLC | 713 E Marion Ave, Punta Gorda, FL 33950-3862 |
| Carrie Ingram | Nurse Practitioner | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Gregory P Arthmann | Psychiatry | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Elena Herschdorfer Rodriguez | Family Medicine | Punta Gorda Hma Physician Management LLC | 100 Madrid Blvd, Unit 511, Punta Gorda, FL 33950-8930 |
| Saeed Shahzad | Neurology | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Catherine S Smith | Otolaryngology | Punta Gorda Hma Physician Management LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Michael L Lepore | Otolaryngology | Punta Gorda Hma Physician Management LLC | 713 E Marion Ave, Suite 131, Punta Gorda, FL 33950-3868 |
| Majd Alsamman | Psychiatry | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Kerry Geiger | Nurse Practitioner | Punta Gorda Hma Physician Management LLC | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Street Address |
1951 B TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33948-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roxanne J Cropp | Certified Registered Nurse Anesthetist (crna) | Gulf Coast Anesthesia Associates Inc | 1400 Education Way, Port Charlotte, FL 33948-1000 |
| Jason Michael Mlnarik | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Steven Raymond Anthony | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Amanda S. Pumilia | Nurse Practitioner | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Nicholas J Connors | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Robert P Stchur | Orthopedic Surgery | Advanced Orthopedic Center of Charlotte County, Pa | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 |
| Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Eileen C De Grandis | Vascular Surgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
| Find all physicians in zip 33948 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PORT CHARLOTTE + ORTHOPEDIC SURGERY |
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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.