Michael Steven Davenport (NPI# 1295789576, PAC ID# 2062434616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295789576 |
| PAC ID by PECOS | 2062434616 |
| Professional Enrollment ID | I20051222000477 |
| Full Name | Michael Steven Davenport |
| Address |
206 S Washington St Mc Leansboro IL 62859-1139 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141326 | HAMILTON MEMORIAL HOSPITAL DISTRICT |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 206 S Washington St, Mc Leansboro, IL 62859-1139 | ||
| 208 S Washington St, Mc Leansboro, IL 62859-1139 |
| Street Address |
206 S WASHINGTON ST |
| City | MC LEANSBORO |
| State | IL |
| Zip | 62859-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie R Anderson | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Laura M Devous | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Jeanie R Chamness | Physician Assistant | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Sabrina R Stout | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Diana Vaughn | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Kadhiresan Murugappan | Internal Medicine | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Rodney L Miller | Emergency Medicine | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Alec B Hood | Family Medicine | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 | |
| Heather Johnson | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Jamie Lea Jacobs | Nurse Practitioner | Hamilton Memorial Hospital District | 611 S Marshall Ave, Mc Leansboro, IL 62859-1213 |
| Find all physicians in zip 62859 | |||
| City | MC LEANSBORO |
| Zip Code | 62859 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MC LEANSBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael Steven Davenport.
| 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.