David Paul Davis (NPI# 1053302240, PAC ID# 9032136726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053302240 |
| PAC ID by PECOS | 9032136726 |
| Professional Enrollment ID | I20060508000142 |
| Full Name | David Paul Davis |
| Organization Legal Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Address |
890 E Ridgelawn Rd Martinsville IL 62442-2551 |
| Phone Number | 2173824191 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5092614867 |
| Number of Group Practice Members | 186 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 150023 | UNION HOSPITAL INC |
| 150046 | TERRE HAUTE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2173824191 | SARAH BUSH LINCOLN HEALTH CENTER |
| Organization Legal Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penelope Shields | Nurse Practitioner | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Veronica N Wright | Nurse Practitioner | Sarah Bush Lincoln Health Center | 2040 Lincoln Ave, Charleston, IL 60920 |
| Joan V Alvarado | Family Medicine | Sarah Bush Lincoln Health Center | 116 W Buchanan Ave, Charleston, IL 61920-2522 |
| Amit S Dande | Interventional Cardiology | Sarah Bush Lincoln Health Center | 241 W Springfield Rd, Arcola, IL 61910-1202 |
| Adree B Venatta | Family Medicine | Sarah Bush Lincoln Health Center | 168 Courthouse Sq, Toledo, IL 62468-1052 |
| Janice A Vandeveer | Family Medicine | Sarah Bush Lincoln Health Center | 650 Oak Ave, Neoga, IL 62447-1502 |
| Lori L Cudone | Otolaryngology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Diana L Oakley | Nurse Practitioner | Sarah Bush Lincoln Health Center | 934 N Route 49 A, Sbl Casey Clinic, Casey, IL 62420-1454 |
| Shawna L Harris | Nurse Practitioner | Sarah Bush Lincoln Health Center | 7 Hawthorne Ln, Sullivan, IL 61951-9490 |
| Kiran V Joag | Internal Medicine | Sarah Bush Lincoln Health Center | 200 E Richmond Ave, Mattoon, IL 61938-4652 |
| Street Address |
890 E RIDGELAWN RD |
| City | MARTINSVILLE |
| State | IL |
| Zip | 62442-2551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Richards | Family Medicine | Sarah Bush Lincoln Health Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 |
| City | MARTINSVILLE |
| Zip Code | 62442 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARTINSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Paul 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.