Michael J Davanzo (NPI# 1285864991, PAC ID# 2466505821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285864991 |
| PAC ID by PECOS | 2466505821 |
| Professional Enrollment ID | I20090803000008 |
| Full Name | Michael J Davanzo |
| Organization Legal Name | CDT HEALTHCARE |
| Address |
101 Walmart Supercenter Siler City NC 27344-6755 |
| Phone Number | 9196633911 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365701596 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341311 | CHATHAM HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 101 Walmart Supercenter, Siler City, NC 27344-6755 | 9196633911 | CDT HEALTHCARE |
| Organization Legal Name | CDT HEALTHCARE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Morris Taylor | Emergency Medicine | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Cameron Scott Phillips | Nurse Practitioner | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Patrick Milko Cvelic | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Megan D Pinder | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Kevin B Walker | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Wanda J Boggs | Nurse Practitioner | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Street Address |
101 WALMART SUPERCENTER |
| City | SILER CITY |
| State | NC |
| Zip | 27344-6755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Morris Taylor | Emergency Medicine | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Cameron Scott Phillips | Nurse Practitioner | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Patrick Milko Cvelic | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Megan D Pinder | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Kevin B Walker | Physician Assistant | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Wanda J Boggs | Nurse Practitioner | Cdt Healthcare | 101 Walmart Supercenter, Siler City, NC 27344-6755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Wickham | Clinical Social Worker | 110 Village Lake Rd, Suite 1, Siler City, NC 27344-1821 | |
| Ray A Hager Jr. | Optometry | 1603 E 11th St, Siler City, NC 27344-2823 | |
| Kenneth M Lommel | Chiropractic | 517 N 2nd Ave, Siler City, NC 27344-3122 | |
| Alvely Alcantara | Clinical Social Worker | El Futuro, Inc. | 319 E 3rd St, Siler City, NC 27344-3231 |
| Courtney A Pope | Clinical Social Worker | El Futuro, Inc. | 319 E 3rd St, Siler City, NC 27344-3231 |
| Savannah M Lamb | Optometry | 900 W Dolphin St, Silver City, NC 27344-3711 | |
| William Don Roscoe Jr. | Optometry | 150 Walmart Supercenter, Siler City, NC 27344-6499 | |
| Caroline Elizabeth Schmitt | Physical Therapy | Proptnc,llc | 112 Walmart Supercenter, Siler City, NC 27344-6756 |
| Daniel P Skulavik | Physical Therapy | Proptnc,llc | 112 Walmart Supercenter, Siler City, NC 27344-6756 |
| Katherine A Kennedy | Physical Therapy | Chatham Hospital Inc | 475 Progress Blvd, Siler City, NC 27344-6787 |
| Find all physicians in zip 27344 | |||
| City | SILER CITY |
| Zip Code | 27344 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SILER CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael J Davanzo.
| 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.