Leslie Brent Davis (NPI# 1366509416, PAC ID# 1456519776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366509416 |
| PAC ID by PECOS | 1456519776 |
| Professional Enrollment ID | I20120215001012 |
| Full Name | Leslie Brent Davis |
| Organization Legal Name | FAITH FAMILY PRACTICE PLLC |
| Address |
801 Main St West Liberty KY 41472-1021 |
| Phone Number | 6067431422 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658306816 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181307 | MORGAN COUNTY ARH HOSPITAL |
| 180018 | ST CLAIRE REGIONAL MEDICAL CENTER |
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 Main St, West Liberty, KY 41472-1021 | 6067431422 | FAITH FAMILY PRACTICE PLLC |
| Organization Legal Name | FAITH FAMILY PRACTICE PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Conrotto | Family Medicine | Faith Family Practice Pllc | 801 Main St, West Liberty, KY 41472-1021 |
| Street Address |
801 MAIN ST |
| City | WEST LIBERTY |
| State | KY |
| Zip | 41472-1021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Vandermeer | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 801 Main St, Munster, IN 46321-4066 |
| Kieran F Dowd | Oral Surgery | Concord and Lexington Oral Surgery Associates LLC | 801 Main St, Concord, MA 01742-3313 |
| Claris W Chuah | Oral Surgery | Concord and Lexington Oral Surgery Associates LLC | 801 Main St, Concord, MA 01742-3313 |
| Tammy J Gaska | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 801 Main St, Munster, IN 46321-4066 |
| Shatara A Coleman | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 801 Main St, Munster, IN 46321-4066 |
| Steven A Conrotto | Family Medicine | Faith Family Practice Pllc | 801 Main St, West Liberty, KY 41472-1021 |
| John P Morgan | Oral Surgery | Concord and Lexington Oral Surgery Associates LLC | 801 Main St, Concord, MA 01742-3313 |
| Gregory T Caldwell | Oral Surgery | Concord and Lexington Oral Surgery Associates LLC | 801 Main St, Concord, MA 01742-3313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel K Nickell | Optometry | 408 Main St, West Liberty, KY 41472-1014 | |
| Matthew K Whitt | Chiropractic | 650 Main St, West Liberty, KY 41472-1018 | |
| Andrei Korossy | Physical Therapy | Ckw Physical Therapy Inc | 389 Prestonsburg St, West Liberty, KY 41472-1137 |
| Daniel C Holt | Family Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Melissa Lynn Frederick | Nurse Practitioner | Frederick Medical Clinic, Psc | 430 Liberty Rd, West Liberty, KY 41472-2049 |
| Rita W Allen | Nurse Practitioner | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Chandan Sahay | Internal Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Salahadin M Gharad | Cardiovascular Disease (cardiology) | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Robert Emerick | Interventional Cardiology | Appalachian Regional Healthcare Inc. | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Kevin W Brinker | Family Medicine | Southern Medical Partners, LLC | 476 Liberty Rd, West Liberty, KY 41472-2049 |
| Find all physicians in zip 41472 | |||
| City | WEST LIBERTY |
| Zip Code | 41472 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST LIBERTY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Leslie Brent 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.