Kyle P Davis (NPI# 1457653719, PAC ID# 2961717475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1457653719 |
| PAC ID by PECOS | 2961717475 |
| Professional Enrollment ID | I20150812008955 |
| Full Name | Kyle P Davis |
| Organization Legal Name | AMADOR EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Address |
200 Mission Blvd Jackson CA 95642-2564 |
| Phone Number | 2092237500 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2567495716 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050748 | KAISER FOUNDATION HOSPITAL MANTECA |
| Address | Phone | Organization |
|---|---|---|
| 200 Mission Blvd, Jackson, CA 95642-2564 | 2092237500 | AMADOR EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| 2025 Morse Ave, Sacramento, CA 95825-2115 | 9169735000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | AMADOR EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight Stalker | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| David C Beffa | General Surgery | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Jason C George | Physician Assistant | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Aymel J Tarrar | Family Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Drew D Hood | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Michael W Juby | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Ron L Hood | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Amber K Bender | Physician Assistant | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Jennifer A Hetzner | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Christine Boley Smith | Nurse Practitioner | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Street Address |
200 MISSION BLVD |
| City | JACKSON |
| State | CA |
| Zip | 95642-2564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bess E Brackett | Orthopedic Surgery | Surgical Affiliates of California | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Wei Fan | Internal Medicine | Hospitalist Medicine Physicians of California - Jackson, PC | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Dwight Stalker | Emergency Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| David C Beffa | General Surgery | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Latha Sunil Kumar | Internal Medicine | Hospitalist Medicine Physicians of California - Jackson, PC | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Rick F Pospisil | Orthopedic Surgery | Surgical Affiliates of California | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Baxter K Richardson | Diagnostic Radiology | Motherlode Diagnostic Imaging Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Prabhbir Singh | Hospitalist | Hospitalist Medicine Physicians of California - Jackson, PC | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Jason C George | Physician Assistant | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Aymel J Tarrar | Family Medicine | Amador Emergency Physicians Medical Group, Inc. | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geraldine T Oshea | Internal Medicine | 235 New York Ranch Rd B, Foothills Womens Cnt, Jackson, CA 95642-2147 | |
| Terrence C Turpen | Physician Assistant | 223 New York Ranch Rd, Jackson, CA 95642-2147 | |
| Anant K Lodhia | Internal Medicine | 223 New York Ranch Rd, Jackson, CA 95642-2147 | |
| Nichole Michelle Renschler | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| John Chin | Cardiac Surgery | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Kelly E Pate | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Neel Kg Shah | Internal Medicine | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Anita Bai Xue | Anesthesiology | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Marianne E La Pointe | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Anastasia L Collins | Family Medicine | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Find all physicians in zip 95642 | |||
| City | JACKSON |
| Zip Code | 95642 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JACKSON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kyle P 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.