Wayne A Davis (NPI# 1063610293, PAC ID# 9830225499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063610293 |
| PAC ID by PECOS | 9830225499 |
| Professional Enrollment ID | I20100407000514 |
| Full Name | Wayne A Davis |
| Organization Legal Name | MOUNTAIN PARK HEALTH CENTER |
| Address |
3830 E Van Buren St Phoenix AZ 85008-6920 |
| Phone Number | 6022437277 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325949647 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 6022437277 | MOUNTAIN PARK HEALTH CENTER |
| 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 6022437277 | MOUNTAIN PARK HEALTH CENTER |
| Organization Legal Name | MOUNTAIN PARK HEALTH CENTER |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annie Cho | Nurse Practitioner | Mountain Park Health Center | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 |
| Emma Louise Edwards-keltgen | Nurse Practitioner | Mountain Park Health Center | 635 E Baseline Rd, Phoenix, AZ 85042-6551 |
| Andrew Schatzki | Family Medicine | Mountain Park Health Center | 1840 E Broadway Rd, Tempe, AZ 85282-1614 |
| Wylie W Carhartt | Internal Medicine | Mountain Park Health Center | 635 E Baseline Rd, Phoenix, AZ 85042-6551 |
| Joyce Varghese | Nurse Practitioner | Mountain Park Health Center | 635 E Baseline Rd, Phoenix, AZ 85042-6551 |
| Carmen S Arocho Vera | Internal Medicine | Mountain Park Health Center | 635 E Baseline Rd, Phoenix, AZ 85042-6551 |
| Edward Taxin | Family Medicine | Mountain Park Health Center | 635 E Baseline Rd, Phoenix, AZ 85042-6551 |
| Phillis C Mutembete | Nurse Practitioner | Mountain Park Health Center | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 |
| Rachael L Buckley | Nurse Practitioner | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Krista D Pellicore | Family Medicine | Mountain Park Health Center | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1226 |
| Street Address |
3830 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85008-6920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael L Buckley | Nurse Practitioner | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Preet Mangat | Family Medicine | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Rachel K Sy | Family Medicine | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Cory A Callister | Physician Assistant | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Sobha Krishnakumar | Nurse Practitioner | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Hoda A Mohamed | Nurse Practitioner | Mountain Park Health Center | 3830 E Van Buren St, Phoenix, AZ 85008-6920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi R Nolletti | Clinical Social Worker | 2600 N 44th St, B104, Phoenix, AZ 85008-1521 | |
| Rachel Lee Taylor | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Esther Ndegwa-wanje | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Cynthia King Alvarez | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Latrecia M Herring | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Rajnikanth Ravula | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Myunghan Choi | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Yvonne M Velasco | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Teresa M Ayela-uwangue | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Janet L James-melvin | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Find all physicians in zip 85008 | |||
| City | PHOENIX |
| Zip Code | 85008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHOENIX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wayne A 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.