Derek Davis (NPI# 1740617562, PAC ID# 1951619410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1740617562 |
| PAC ID by PECOS | 1951619410 |
| Professional Enrollment ID | I20151001003008 |
| Full Name | Derek Davis |
| Organization Legal Name | EPMG OF OHIO INC PA |
| Address |
1248 Kinneys Ln Portsmouth OH 45662-2927 |
| Phone Number | 7403567685 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052223799 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 730 W Market St, Lima, OH 45801-4602 | 4192273361 | MERCY EMERGENCY CARE SERVICES INC |
| 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 7403567685 | EPMG OF OHIO INC PA |
| Organization Legal Name | EPMG OF OHIO INC PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalkeith F Tucker | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Curtis Dee Mortensen | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Matthew Mitchell Stone | Nurse Practitioner | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Jeanna M Hull | Physician Assistant | Epmg of Ohio Inc Pa | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
| Ricardo R Romero | Family Practice | Epmg of Ohio Inc Pa | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
| Lora L Stone | Nurse Practitioner | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Tia M King | Nurse Practitioner | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| William J Angelos | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Jessie Entwistle | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Karissa D Couch | Nurse Practitioner | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Street Address |
1248 KINNEYS LN |
| City | PORTSMOUTH |
| State | OH |
| Zip | 45662-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marion R Hochstetler Jr. | Thoracic Surgery | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Kayla L Ross | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Jessica N Powell | Family Medicine | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Brea D Boggs | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Jackie Pierson | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Kristie J Thacker | Qualified Audiologist | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Sherry L Young | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Kelley Elizabeth Smith | Emergency Medicine | Epmg of Ohio Inc Pa | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Cwikla | Podiatry | 1605 E Eleventh St, Portsmouth, OH 45662 | |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Ryan F Sandlin | Obstetrics/gynecology | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Zachary Harr | Physician Assistant | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Reena Samuel | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Ernesto Espe Banalagay | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Tiffany L Harris | Certified Nurse Midwife (cnm) | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Joseph W Herrmann | Vascular Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Phillip D Roberts | Family Medicine | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Jeffrey E Parker | General Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Find all physicians in zip 45662 | |||
| City | PORTSMOUTH |
| Zip Code | 45662 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PORTSMOUTH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Derek 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.