Maura Davenport (NPI# 1972896074, PAC ID# 4486970092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972896074 |
| PAC ID by PECOS | 4486970092 |
| Professional Enrollment ID | I20150225002212 |
| Full Name | Maura Davenport |
| Organization Legal Name | MADISON VALLEY HOSPITAL ASSOCIATION |
| Address |
305 N Main St Ennis MT 59729-8001 |
| Phone Number | 4066826862 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719890987 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271329 | MADISON VALLEY MEDICAL CENTER |
| 270057 | BOZEMAN HEALTH DEACONESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 305 N Main St, Ennis, MT 59729-8001 | 4066826862 | MADISON VALLEY HOSPITAL ASSOCIATION |
| Organization Legal Name | MADISON VALLEY HOSPITAL ASSOCIATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystin D Nutt | Nurse Practitioner | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Martin E Hensel | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Martin G Degroot | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| David Joseph Newton | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Robert D Marks | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Street Address |
305 N MAIN ST |
| City | ENNIS |
| State | MT |
| Zip | 59729-8001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Hinrichs | Optometry | 305 N Main St, Ainsworth, NE 69210-1355 | |
| Krystin D Nutt | Nurse Practitioner | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Martin E Hensel | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Rachael A Templeton | Chiropractic | 305 N Main St, Wrens, GA 30833-1140 | |
| Martin G Degroot | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| David Joseph Newton | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Bonnie C Daniel | Nurse Practitioner | Danville Physician Practices LLC | 305 N Main St, Gretna, VA 24557-4176 |
| Robert D Marks | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Casey W Kirkes | Physical Therapy | Ptms 3.0 LLC | 305 N Main St, Physical Therapy Central of Noble, Noble, OK 73068-9322 |
| Lori Lusk | Physical Therapy | Ptms 3.0 LLC | 305 N Main St, Physical Therapy Central of Noble, Noble, OK 73068-9322 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Brubaker | Clinical Social Worker | 22 Bronco Rd, Ennis, MT 59729 | |
| Gail L Elser | Speech Language Pathologist | 7 Jeffers Loop, Ennis, MT 59729-9029 | |
| Robert A Sahli | Physical Therapy | 110 S 1st St, Ennis, MT 59729-9095 |
| City | ENNIS |
| Zip Code | 59729 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ENNIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Maura Davenport.
| 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.