Mark Edward Davis (NPI# 1053705871, PAC ID# 2365756947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053705871 |
| PAC ID by PECOS | 2365756947 |
| Professional Enrollment ID | I20190130001365 |
| Full Name | Mark Edward Davis |
| Organization Legal Name | ROCKAWAY EMERGENCY MEDICINE SERVICES PC |
| Address |
110 W 6th St Oswego NY 13126-2507 |
| Phone Number | 3153495522 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416203906 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495522 | ROCKAWAY EMERGENCY MEDICINE SERVICES PC |
| 801 5th St, Sioux City, IA 51101-1326 | 7122792010 | WOODBURY PHYSICIAN SERVICES, PC |
| Organization Legal Name | ROCKAWAY EMERGENCY MEDICINE SERVICES PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marguerite M Vardman | Nurse Practitioner | Rockaway Emergency Medicine Services PC | 110 W 6th St, Oswego, NY 13126-2507 |
| Street Address |
110 W 6TH ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard H Koehler | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Megan R Coghlan | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Kristine S Strumpfler | Nurse Practitioner | Pons Physician Services Pllc | 110 W 6th St, Fl 3, Oswego, NY 13126-2507 |
| Marie E Castillo Alcasid | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jeri L Polchlopek | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Nathaniel Michael Farden | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Samir Edward Yousef | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jerry J Micho | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Peter Lacell | Registered Dietitian Or Nutrition Professional | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Dana Finch | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OSWEGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark Edward 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.