BENNET E DAVIS


Address: 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091
Phone: 5205913760

BENNET E DAVIS (NPI# 1902893399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902893399
Entity Type Individual
Full Name BENNET E DAVIS
Credential MD
Practice Address 39580 S Lago Del Oro Pkwy
Tucson
AZ 85739-1091
Mailing Address 2455 E Miraval Primero
Tucson
AZ 85718-3035
Practice Telephone 5205913760
Mailing Telephone 5205913760
Enumeration Date 2005-09-30
Last Update Date 2019-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
23871 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 335465 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2455 E Miraval Primero, Tucson, AZ 857183035 5205913760
3945 E Paradise Falls Dr, #105, Tucson, AZ 857126683 5207977246 5207954249

Office Location

Street Address 39580 S LAGO DEL ORO PKWY
City TUCSON
State AZ
Zip Code 85739-1091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255802377 Mallory Kathryn Aye-englert Naturopath 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2018-12-16
1801377601 Willard Dean Lynch Nurse Practitioner 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 2018-08-28
1376059139 Emily Coombs Naturopath 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2017-12-15
1568905073 Stuart Haiken Registered Nurse 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2016-12-01
1760883060 John William Mcclane Iv Psychiatry & Neurology 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2014-09-06
1518299767 Sierra Tucson, Inc. Psychiatric Residential Treatment Facility 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2010-02-12
1073791562 Sofia Cerchione Meistrell Social Worker 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2008-02-06
1346456316 Devi Paolillo Marriage & Family Therapist 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2007-05-15
1023239803 Dale Gary Carlson Registered Nurse 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2007-05-01
1306060702 Karin Hilsdale Rodes Acupuncturist 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 2007-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215276811 Kari Miller Respite Care 48415 E Eaglenest Trail, Tucson, AZ 85739 2013-02-04
1073757670 Diversified Pharmacy Solutions, LLC Pharmacy 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 2009-04-27
1134308596 Desert Palms Physical Therapy- Catalina PC Physical Therapist 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 2007-11-01
1184784589 Barbara Marie Mautner Counselor 37632 S. Mashie Dr., Tucson, AZ 85739 2006-12-08
1972614089 W & W Rehab Services,l.l.c. Physical Therapist 15969 N. Oracle Rd., 171, Tucson, AZ 85739 2006-08-31
1750318036 Daniel E Eggleston Radiology 38339 S Granite Crest, Tucson, AZ 85739 2006-06-26
1699811588 Joel Moncivaiz Family Medicine 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 2007-01-29
1770688988 Korey Lynn Toensing Chiropractor 15601 N Oracle Rd, Catalina, AZ 85739 2006-09-13
1720044423 Patrick B Shaffer Dentist 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 2006-04-22
1114179553 Robert Gordon Denney Psychiatry & Neurology 38425 S Apache Peak Dr, Saddlebrooke, AZ 85739-1056 2008-10-16
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750675864 Efrain Israel Cubillo Iv Anesthesiology 4582 N 1st Ave Ste 170, Tucson, AZ 85718-8607 2011-06-06
1861575078 Pain Institute of Southern Arizona Pisa PC Anesthesiology 4582 N First Ave, Ste 170, Tucson, AZ 85718-8607 2006-10-23
1033116611 Randall S. Prust Anesthesiology 4747 E Camp Lowell Dr, Tucson, AZ 85712-1256 2005-06-28
1891791653 Robert J. Berens Anesthesiology 5355 E Erickson Dr, Tucson, AZ 85712-2826 2005-06-24
1265438220 Khushvant Bhola Anesthesiology 4745 E Camp Lowell Dr, Tucson, AZ 85712-1256 2005-06-23
1467089300 Sandman Anesthesia Consultants PC Anesthesiology 717 S Alvernon Way, Tucson, AZ 85711-5351 2020-03-23
1619407533 Pain Institute of Southern Arizona Pisa PC Anesthesiology 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 2017-06-13
1073970133 Medifast Tucson Com Incorporated Anesthesiology 5350 E Erickson Dr, Tucson, AZ 85712-2822 2016-01-20
1295148856 Tucson Pain Institute PC Anesthesiology 6252 E Grant Rd, Suite150, Tucson, AZ 85712-5803 2014-06-11
1154694552 Northwest Pain Management Pllc Anesthesiology 7225 N Mona Lisa Rd Ste 100a, Tucson, AZ 85741-4528 2012-02-15
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Competitor

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City TUCSON
Zip Code 85739

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Dataset Information

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.

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