KEN K DAVENPORT (NPI# 1891976833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891976833 |
| Entity Type | Individual |
| Full Name | KEN K DAVENPORT |
| Credential | M.D. |
| Practice Address |
900 Goodyear Avenue Suite B Gadsden AL 35903-1108 |
| Mailing Address |
900 Goodyear Ave Suite B Gadsden AL 35903-1108 |
| Practice Telephone | 2564920020 |
| Practice Fax Number | 2564920029 |
| Mailing Telephone | 2564920020 |
| Mailing Fax Number | 2564920029 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 29230 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 130499 | 05 | |
| AL | BLUE CROSS BLUE SHIELD ALABAMA | 511-17039 | 01 |
| AL | MEDICARE GROUP NUMBER | D570 | 01 |
| AL | 529203130 | 05 |
| Street Address |
900 GOODYEAR AVENUE SUITE B |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1710988183 | Russell S Whitaker | Internal Medicine | 300 Medical Center Drive, Suite 201, Gadsden, AL 35903 | 2005-08-09 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230121 | Larry Andrew May | Surgery | 900 Goodyear Ave Ste B, Gadsden, AL 35903-1145 | 2013-04-04 |
| 1053574129 | Sudhan Nagarajan | Surgery | 100 Medical Center Dr Ste 205, Gadsden, AL 35903-1140 | 2008-07-08 |
| 1164830923 | Eric A Crabtree | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1108 | 2014-07-24 |
| 1659472983 | Surgical Associates of Gadsden PC | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1108 | 2006-09-26 |
| 1477510527 | Lucian Newman Jr. | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1992762041 | John H Campbell | Surgery | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2006-05-01 |
| 1093772162 | Charles L Newman | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1639136716 | Lucian Newman IIi | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1609837152 | Alberto Echeverri | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1107 | 2006-03-31 |
| 1760456941 | Paul Jorgen Nordness | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-02-15 |
| Find all providers in GADSDEN | ||||
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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.