Mark L Davis (NPI# 1083618615, PAC ID# 9537114269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1083618615 |
| PAC ID by PECOS | 9537114269 |
| Professional Enrollment ID | I20180316001404 |
| Full Name | Mark L Davis |
| Organization Legal Name | HRMC, LLC |
| Address |
101 Civic Ctr Ln Lake Havasu City AZ 86403-5607 |
| Phone Number | 9284533761 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3072641265 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 | 9284533761 | HRMC, LLC |
| 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-5680 | 9288541242 | HRMC, LLC |
| Organization Legal Name | HRMC, LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khizer S Shaikh | Pulmonary Disease | Hrmc, LLC | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5681 |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Kitrin Lance Carpenter | Physician Assistant | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Michael T Lyster | Hematology/oncology | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Sarah Beatrice Smith | Nurse Practitioner | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Nicholas O Roman | Radiation Oncology | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Mathew M Edavettal | General Surgery | Hrmc, LLC | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5681 |
| Kristie L Grayhek | Nurse Practitioner | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Scott Joseph Coole | Pulmonary Disease | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| David George Vandewyngaerde | Orthopedic Surgery | Hrmc, LLC | 1851 Mesquite Ave, Suite 210, Lake Havasu City, AZ 86403-5681 |
| Street Address |
101 CIVIC CTR LN |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sook Y Owen | Nurse Practitioner | Apogee Medical Group Inc | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Kitrin Lance Carpenter | Physician Assistant | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Lawrence L Young | Hospitalist | Apogee Medical Group Inc | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Nasibo Kadir | Internal Medicine | Apogee Medical Group Inc | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Michael T Lyster | Hematology/oncology | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Michael S Rosen | Family Medicine | Apogee Medical Group Inc | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Fema B Aquino | Hospitalist | Apogee Medical Group Inc | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Michael E Sheehy | Emergency Medicine | Arizona Emergency Medicine Specialists PC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Darren K Johnson | Nurse Practitioner | Arizona Emergency Medicine Specialists PC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Sarah Beatrice Smith | Nurse Practitioner | Hrmc, LLC | 101 Civic Ctr Ln, Lake Havasu City, AZ 86403-5607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LAKE HAVASU CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mark L 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.