Wayne L Davis (NPI# 1063459824, PAC ID# 5193770048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063459824 |
| PAC ID by PECOS | 5193770048 |
| Professional Enrollment ID | I20100812000604 |
| Full Name | Wayne L Davis |
| Organization Legal Name | INLAND IMAGING LLC |
| Address |
2419 Mullan Rd Suite D Missoula MT 59808-1856 |
| Phone Number | 5093637788 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6608763016 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270014 | ST PATRICK HOSPITAL |
| 270023 | COMMUNITY MEDICAL CENTER |
| 271343 | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| 271325 | ST LUKE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 | 5093637788 | INLAND IMAGING LLC |
| 2419 Mullan Rd, Missoula, MT 59808-1856 | 5093637788 | INLAND IMAGING LLC |
| 2419 Mullan Rd, Missoula, MT 59808-1856 | INTEGRA IMAGING PS | |
| 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 | INTEGRA IMAGING PS | |
| 2803 S W Ave, Missoula, MT 59804-5103 | 4063273950 | ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC |
| 3275 N Reserve St, Missoula, MT 59808-1562 | 4063273950 | ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC |
| 3275 N Reserve St, Suite A, Missoula, MT 59808-1562 | 4063273950 | ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC |
| 1145 Broadway, Seattle, WA 98122-4201 | 2063291760 | THE POLYCLINIC |
| 525 S Cowley, Spokane, WA 99202-1381 | 5097474455 | INLAND IMAGING LLC |
| 3920 Hwy 93 N, Suite F, Stevensville, MT 59870 | 4063273950 | ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC |
| 3920 Hwy 93 N, Stevensville, MT 59870 | 4063273950 | ADVANCED IMAGING AT COMMUNITY MEDICAL CENTER, LLC |
| 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 5093637745 | INTEGRA IMAGING PS |
| Organization Legal Name | INLAND IMAGING LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob A Wolff | Physician Assistant | Inland Imaging LLC | 525 S Cowley, Spokane, WA 99202-1381 |
| Stephanie M Simonson | Diagnostic Radiology | Inland Imaging LLC | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| William E Schulte | Diagnostic Radiology | Inland Imaging LLC | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Kenneth E Symington | Diagnostic Radiology | Inland Imaging LLC | 525 S Cowley, Spokane, WA 99202-1381 |
| Florence M Gin | Diagnostic Radiology | Inland Imaging LLC | 525 S Cowley, Spokane, WA 99202-1381 |
| Connie L Emerson | Diagnostic Radiology | Inland Imaging LLC | 525 S Cowley, Spokane, WA 99202-1381 |
| Melvyn Feliciano | Diagnostic Radiology | Inland Imaging LLC | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Street Address |
2419 MULLAN RD SUITE D |
| City | MISSOULA |
| State | MT |
| Zip | 59808-1856 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel A Brake | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Mark W Elliott | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Gurpreet S Dhillon | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Newton B Coutinho | Cardiovascular Disease (cardiology) | 2419 Mullan Rd, Suite A, Missoula, MT 59808-1856 | |
| Stephanie M Simonson | Diagnostic Radiology | Inland Imaging LLC | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Paul H Eikens | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Michael A Stewart | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Jace D Hilton | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Kyle L Dale | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Sarsfield P Dougherty | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Devin Redshaw | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Karl Roy Westenfelder | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Kevin M Kronner | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Whitney C Martin | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Richard L Wiesemann | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Christopher George Wicher | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Garrick Richard Simmons | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| David I Croteau | Family Medicine | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Karin M Johns | Physician Assistant | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Kelly Marie Gregory | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Find all physicians in zip 59808 | |||
| City | MISSOULA |
| Zip Code | 59808 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MISSOULA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Wayne L 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.