Trevor Davis (NPI# 1336301415, PAC ID# 7012295835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1336301415 |
| PAC ID by PECOS | 7012295835 |
| Professional Enrollment ID | I20161031000502 |
| Full Name | Trevor Davis |
| Organization Legal Name | WISHON RADIOLOGICAL MEDICAL GROUP INC |
| Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Phone Number | 5593535917 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8022065036 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1303 E Herndon Ave, Fresno, CA 93720-3309 | 5594503000 | WISHON RADIOLOGICAL MEDICAL GROUP INC |
| 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 5593535917 | WISHON RADIOLOGICAL MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 63% |
| Organization Legal Name | WISHON RADIOLOGICAL MEDICAL GROUP INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta K Yang | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092 |
| Brandon W. Chan | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 126 Marlboro Dr, Mc Murray, PA 15317-3651 |
| Lin Hsu Bailey | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Terril A Efird | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Benjamin Pruett | Interventional Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Robert Raines-hepple | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Larry Jess Destjeor | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Tyler George Gasser | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Sampath Kumar Alapati | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Michael R Myracle | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip | 93636-8761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy W Hansen | Anesthesiology | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Lin Hsu Bailey | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Inger P Aliason | Anesthesiology | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Terril A Efird | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Harry J Kallas | Pediatric Medicine | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Joseph E Treister | Pediatric Medicine | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Robert Haig Kezirian | Pediatric Medicine | Emergency Medicine Physician Partners of Madera County, Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Ariel Chairez | Pediatric Medicine | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Trisha J Beck | Pediatric Medicine | Emergency Medicine Physician Partners of Madera County, Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Robert Raines-hepple | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth V Haney | Chiropractic | 36754 Ave, 12 Suite 107, Madera, CA 93636-8611 | |
| Tyler George Gasser | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Sampath Kumar Alapati | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Michael R Myracle | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Christine M Almon | Anesthesiology | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Ceayee Mak | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Aram L Shemmassian | Emergency Medicine | Emergency Medicine Physician Partners of Madera County, Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Stephen Aaron Balfour | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Brian Pugmire | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Molly V Dorfman | Pediatric Medicine | Pediatric Anesthesia Associates Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
| Find all physicians in zip 93636 | |||
| City | MADERA |
| Zip Code | 93636 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | MADERA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Trevor 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.