Scott A Davis (NPI# 1083609200, PAC ID# 2365493046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1083609200 |
| PAC ID by PECOS | 2365493046 |
| Professional Enrollment ID | I20050210000261 |
| Full Name | Scott A Davis |
| Organization Legal Name | WPS PROVIDERS INC |
| Address |
130 W Ravine Rd Kingsport TN 37660-3831 |
| Phone Number | 4232244000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7719079532 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 W Ravine Rd, Kingsport, TN 37660-3831 | 4232244000 | WPS PROVIDERS INC |
| 501 20th St, Knoxville, TN 37916-1863 | 8655468040 | AMERICAN ANESTHESIOLOGY OF TENNESSEE PC |
| Organization Legal Name | WPS PROVIDERS INC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey E Capell | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Jon William Taveau | Neurosurgery | Wps Providers Inc | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 |
| Cassondra Nichole Compton | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Pamela S Earles | Nurse Practitioner | Wps Providers Inc | 1341 E Main St, Rogersville, TN 37857-2940 |
| Stacey A Ryder | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Joseph A Brombach | Family Medicine | Wps Providers Inc | 1519 Main St, Sneedville, TN 37869-3657 |
| Steven J Baumrucker | Family Medicine | Wps Providers Inc | 1905 American Way, Kingsport, TN 37660-5882 |
| Jean M Mancini | Internal Medicine | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| George M Testerman Jr. | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Kendra Ervin Mcreynolds | Physical Therapy | Wps Providers Inc | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 |
| Street Address |
130 W RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey A Ryder | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| George M Testerman Jr. | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Kimberly L Hixson | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Kathryn A Harris | Nurse Practitioner | Wellmont Medical Associates Inc | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
| Trey M Vanzant | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Jeffrey Vaughn | Family Medicine | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Marc Campbell | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
| Rachel A Phillips | Nurse Practitioner | Wellmont Medical Associates Inc | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
| Laura Evelyn Stewart | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
| M. Kathryn B Mclain | Nurse Practitioner | Wellmont Medical Associates Inc | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | KINGSPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Scott A 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.