Jerry W Davis (NPI# 1356357495, PAC ID# 3779747266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1356357495 |
| PAC ID by PECOS | 3779747266 |
| Professional Enrollment ID | I20120613000486 |
| Full Name | Jerry W Davis |
| Organization Legal Name | BEAUMONT HOSPITAL HOLDINGS INC |
| Address |
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 |
| Phone Number | 4097247389 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7113838418 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450518 | THE MEDICAL CENTER OF SOUTHEAST TEXAS |
| Address | Phone | Organization |
|---|---|---|
| 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 4097247389 | BEAUMONT HOSPITAL HOLDINGS INC |
| 3050 39th St, Port Arthur, TX 77642-5549 | 8003929754 | BEAUMONT HOSPITAL HOLDINGS INC |
| Organization Legal Name | BEAUMONT HOSPITAL HOLDINGS INC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda G Sanders | Certified Registered Nurse Anesthetist | Beaumont Hospital Holdings Inc | 3050 39th St, Port Arthur, TX 77642-5549 |
| Samuel Y Lee | Anesthesiology | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Yoko Sugimoto | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Dag Ross M Reyes | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Adam G Newman | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Julia Dishon | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Kristin Mai-anh Luong Falce | Anesthesiology | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Crystal Obianuju Ike | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Weng Y Thong | Anesthesiology | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Philip Paul Adamczak | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 1401 St Joseph Pkwy, Houston, TX 77002-8301 |
| Street Address |
2555 JIMMY JOHNSON BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip | 77640-2007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tho V Tran | Psychiatry | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Frank A Krull | Pathology | Baylor College of Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Adam G Newman | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Kathryn Williamson | Family Medicine | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Michael Bergal | Family Medicine | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Christine Carroll | Emergency Medicine | Port Arthur Emergency Physicians | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Kevin J Schwechten | Family Medicine | Port Arthur Emergency Physicians | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Shannon Keith | Nurse Practitioner | Port Arthur Emergency Physicians | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Hai T Vu | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Sudhir K Alampur | Gastroenterology | Permian Premier Health Services Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth K Barton | Maxillofacial Surgery | 2770 Aero Dr, Port Arthur, TX 77640-1519 | |
| Loren T Nguyen | Optometry | Mid County Vision Insights, Pllc | 8815 Memorial Blvd, Suite B, Port Arthur, TX 77640-1559 |
| Thao Ly Phung | Optometry | Mid County Vision Insights, Pllc | 8815 Memorial Blvd, Suite B, Port Arthur, TX 77640-1559 |
| Gene E Jones | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 |
| Stephanie P Cunningham | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 |
| Triptesh K Chaudhury | Radiation Oncology | 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002 | |
| Gavin V Bruney | Certified Registered Nurse Anesthetist (crna) | Beaumont Hospital Holdings Inc | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Melissa Hardin | Pathology | Baylor College of Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Srinivasa R Kothapalli | Cardiovascular Disease (cardiology) | S K Rao Md Pa | 2501 Jimmy Johnson Blvd, Suite 500, Port Arthur, TX 77640-2007 |
| Michael L Mcmahon | Internal Medicine | Southeast Texas Inpatient Physician Associates | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 |
| Find all physicians in zip 77640 | |||
| City | PORT ARTHUR |
| Zip Code | 77640 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PORT ARTHUR + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jerry W 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.