Glen Davis (NPI# 1124168406, PAC ID# 7517030117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1124168406 |
PAC ID by PECOS | 7517030117 |
Professional Enrollment ID | I20080715000534 |
Full Name | Glen Davis |
Organization Legal Name | HOLZER CLINIC LLC |
Address |
98 State St Proctorville OH 45669-8163 |
Phone Number | 7408869370 |
Gender | M |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 5890606008 |
Number of Group Practice Members | 247 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510007 | ST MARY'S MEDICAL CENTER |
360054 | HOLZER MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
98 State St, Proctorville, OH 45669-8163 | 7408869370 | HOLZER CLINIC LLC |
Organization Legal Name | HOLZER CLINIC LLC |
Physicians | 257 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
Antony Valentine | Family Medicine | Holzer Clinic LLC | 1051 4th Ave, Gallipolis, OH 45631-1612 |
Mary Brown | Nurse Practitioner | Holzer Clinic LLC | 88 E Memorial Dr, Pomeroy, OH 45769-9569 |
Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
Rajesh Rajan | Nephrology | Holzer Clinic LLC | 280 Pattonsville Rd, Jackson, OH 45640-9452 |
Sarah A Leger | Nurse Practitioner | Holzer Clinic LLC | 41861 Pomeroy Pike, Pomeroy, OH 45769-9473 |
Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
Carlton W Herald | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
Kenneth A Marshall | Pain Management | Holzer Clinic LLC | 2131 E State St, Athens, OH 45701-2138 |
Street Address |
98 STATE ST |
City | PROCTORVILLE |
State | OH |
Zip | 45669-8163 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
Elizabeth Bentley | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
Name | Specialty | Organization | Address |
---|---|---|---|
Torin Patrick Walters | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Joseph Werner Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Hans Gerhard Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Grant Petty | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Nathan Randall Hatfield | Interventional Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Marsha S Anderson | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Ricky Jack Compton | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Nathan Scott Hill | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Matthew Edward Maxwell | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Rodger Alan Blake | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
Find all physicians in zip 45669 |
City | PROCTORVILLE |
Zip Code | 45669 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PROCTORVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Glen 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.