Kevin W Davis (NPI# 1326047119, PAC ID# 5991751869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1326047119 |
| PAC ID by PECOS | 5991751869 |
| Professional Enrollment ID | I20050323001006 |
| Full Name | Kevin W Davis |
| Address |
1623 Nashville St Russellville KY 42276-8889 |
| Gender | M |
| Credential | DPM |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440065 | NORTHCREST MEDICAL CENTER |
| 180066 | LOGAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1623 Nashville St, Russellville, KY 42276-8889 | ||
| 312 Northcrest Dr, Springfield, TN 37172-3963 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1623 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip | 42276-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gillian J Stuart | General Surgery | Logan Physician Practice LLC | 1623 Nashville St, Suite 106, Russellville, KY 42276-8889 |
| Steve G Salyers | Orthopedic Surgery | Logan Physician Practice LLC | 1623 Nashville St, Suite 106, Russellville, KY 42276-8889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad Dustin Wells | Optometry | 105 Robins Way, Suite 206, Russellville, KY 42276-1129 | |
| Darla S Barrow | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Amanda S Higdon | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Keith A Jones | Chiropractic | 178 E 4th St, Russellville, KY 42276-1820 | |
| Bill D Webb | Optometry | 603 E 4th St, Russellville, KY 42276-1857 | |
| James C Dodson | Internal Medicine | Logan Physician Practice LLC | 147 E 5th St, Russellville, KY 42276-1903 |
| Stuart W Larson | Psychiatry | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Tonya Norris Ballard | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Lorri L Houck | Nurse Practitioner | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Laura A Gaines | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Find all physicians in zip 42276 | |||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
| Specialty | PODIATRY |
| City + Specialty | RUSSELLVILLE + PODIATRY |
Please comment or provide details below to improve the information on Kevin 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.