Patricia J Davidson (NPI# 1851797377, PAC ID# 4082930912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1851797377 |
PAC ID by PECOS | 4082930912 |
Professional Enrollment ID | I20150311001587 |
Full Name | Patricia J Davidson |
Organization Legal Name | MARIETTA MEMORIAL HOSPITAL |
Address |
151 Anderson Ln Waterford OH 45786-5312 |
Phone Number | 7409842332 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8224928965 |
Number of Group Practice Members | 151 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360147 | MARIETTA MEMORIAL HOSPITAL |
361319 | SELBY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
151 Anderson Ln, Waterford, OH 45786-5312 | 7409842332 | MARIETTA MEMORIAL HOSPITAL |
Organization Legal Name | MARIETTA MEMORIAL HOSPITAL |
Physicians | 45 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas H.e. Mezitis | Endocrinology | Marietta Memorial Hospital | 800 Wayne St, Suite 112, Marietta, OH 45750-3309 |
Jay R Mcdougal | Internal Medicine | Marietta Memorial Hospital | 26 E Park Dr, Suite 105, Athens, OH 45701-5003 |
Jennifer D Fields | Nurse Practitioner | Marietta Memorial Hospital | 310 W Union St, Suite 102, Athens, OH 45701-2312 |
Kendal M Neill | Nurse Practitioner | Marietta Memorial Hospital | 401 Matthew St, Marietta, OH 45750-1635 |
Eric Carl Hunkele | Family Medicine | Marietta Memorial Hospital | 401 Matthew St, Marietta, OH 45750-1635 |
Mona Imam | Allergy/immunology | Marietta Memorial Hospital | 401 Matthew St, Marietta, OH 45750-1635 |
Elyse A Blackston | Nurse Practitioner | Marietta Memorial Hospital | 401 Matthew St, Marietta, OH 45750-1635 |
Stephen P Fink | Psychologist, Clinical | Marietta Memorial Hospital | 807 Farson St, Belpre, OH 45714-1069 |
Shelley Day | Nurse Practitioner | Marietta Memorial Hospital | 799 Farson St, Belpre, OH 45714-1044 |
Leandro P Galang | Family Medicine | Marietta Memorial Hospital | 401 Matthew St, Marietta, OH 45750-1635 |
Street Address |
151 ANDERSON LN |
City | WATERFORD |
State | OH |
Zip | 45786-5312 |
City | WATERFORD |
Zip Code | 45786 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WATERFORD + NURSE PRACTITIONER |
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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.