DR. THOMAS WEST DAVIS (NPI# 1295842870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295842870 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WEST DAVIS |
| Credential | MD |
| Practice Address |
510 Lincoln Dr Southern Orthopedic Associates Sc Herrin IL 62948-6334 |
| Practice Telephone | 6189976800 |
| Practice Fax Number | 6189989124 |
| Mailing Telephone | 6189976800 |
| Mailing Fax Number | 6189989124 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150019 | Thomas Raymond Davis | Behavior Technician | 916 E Rezanof Dr, Kodiak, AK 99615-6724 | 2019-02-12 |
| 1720332463 | Thomas Davis | Respiratory Therapist, Registered | 505 Annette Ave, Interlachen, FL 32148-5106 | 2012-11-02 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1831474337 | Thomas P Davis | Pharmacist | 539 E Main St, Yanceyville, NC 27379 | 2011-10-15 |
| 1891019154 | Thomas L Davis | Social Worker | 201 Johnston St, Suite 300, Alexandria, LA 71301-8388 | 2010-03-16 |
| 1104148543 | Thomas Porter Davis | Family Medicine | 18520 Barnesville Rd, Dickerson, MD 20842-9791 | 2010-02-26 |
| 1497085005 | Thomas Bruce Davis | Anesthesiology | 11313 Lost Tree Way, North Palm Beach, FL 33408-3324 | 2010-01-04 |
| 1679626212 | Thomas A. Davis | Counselor | 160 Yonah Ave, Athens, GA 30601-1740 | 2007-01-18 |
| 1912068438 | Thomas Morrey Davis | General Practice | 8 North Grant Street, Brownsburg, IN 46112-1223 | 2006-12-12 |
| 1144243064 | Thomas W Davis | Family Medicine | 147 Longleaf Dr, Blackshear, GA 31516-2715 | 2006-07-25 |
| Street Address |
510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001377 | Southern Illinois Orthopedic Center,llc | Clinic/Center | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2005-08-23 |
| 1629682471 | Rachel Peterson | Physical Therapist | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2020-08-31 |
| 1679119572 | Marcia Skinner | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-26 |
| 1790321602 | Braden Reeves | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-26 |
| 1508402652 | Joshua Sheldon | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1801432968 | Sydney Allen | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1487290532 | Michelle Reed | Occupational Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1689235715 | Michelle Steh | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-06-28 |
| 1427576180 | Amelie H Wilson | Physical Therapist | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2017-09-01 |
| 1790238160 | Kali Jo Moe | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336243062 | William K Harryman IIi | Orthopaedic Surgery | 25 Deer Run, Southern Il Orthopedic Consultants, Herrin, IL 62948-2468 | 2006-09-12 |
| 1922008754 | Bret Hunter Miller | Orthopaedic Surgery | 510 Lincoln Drive, Herrin, IL 62948-6334 | 2005-07-22 |
| 1013163120 | Swastik Kumar Sinha | Orthopaedic Surgery | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2008-08-08 |
| 1386716884 | Jeremy Dale Palmer | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-11-14 |
| 1154425882 | John B Wood | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1063516797 | James Michael Davis | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1972607604 | Richard L Morgan | Orthopaedic Surgery | 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1215031943 | Steven D Young | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-09-12 |
| 1952418089 | Stephen H Jackson | Orthopaedic Surgery | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2006-08-24 |
| 1881709400 | Roland J Barr | Orthopaedic Surgery | 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-08-21 |
| Find all providers in HERRIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.