Dava Derrick (NPI# 1164421806, PAC ID# 8820022957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164421806 |
| PAC ID by PECOS | 8820022957 |
| Professional Enrollment ID | I20050919000857 |
| Full Name | Dava Derrick |
| Organization Legal Name | FAMILY MEDICINE CARE, LLC |
| Address |
1250 W National Rd Suite 400 Clayton OH 45315-9504 |
| Phone Number | 9375583062 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567353881 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360052 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1250 W National Rd, Suite 400, Clayton, OH 45315-9504 | 9375583062 | FAMILY MEDICINE CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FAMILY MEDICINE CARE, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Elizabeth Rodgers | Nurse Practitioner | Family Medicine Care, LLC | 2510 Commons Blvd, Suite 220, Beavercreek, OH 45431-3821 |
| John W Sawvel | Family Medicine | Family Medicine Care, LLC | 2510 Commons Blvd, Suite 220, Beavercreek, OH 45431-3821 |
| Catherine Sargent | Family Medicine | Family Medicine Care, LLC | 2510 Commons Blvd, Suite 220, Beavercreek, OH 45431-3821 |
| Evelyn R Mote | Family Practice | Family Medicine Care, LLC | 1250 W National Rd, Suite 400, Clayton, OH 45315-9504 |
| Street Address |
1250 W NATIONAL RD SUITE 400 |
| City | CLAYTON |
| State | OH |
| Zip | 45315-9504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsey Sakal | Physician Assistant | Orthopedic Associates of Sw Ohio, Inc. | 1250 W National Rd, Suite 100a, Englewood, OH 45315-9506 |
| Michael P Verdon | Neurosurgery | 1250 W National Rd, Suite 100b, Englewood, OH 45315-9505 | |
| Evelyn R Mote | Family Practice | Family Medicine Care, LLC | 1250 W National Rd, Suite 400, Clayton, OH 45315-9504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra D Loewit | Optometry | 7728 Hoke Rd, Englewood, OH 45315-8837 | |
| Steven A Santanello | General Surgery | Alliance Physicians Inc | 1250 National Rd, Suite B, Clayton, OH 45315-9505 |
| Christopher R Schneider | General Surgery | Alliance Physicians Inc | 1250 National Rd, Suite B, Clayton, OH 45315-9505 |
| Deepak Kumar | Colorectal Surgery (proctology) | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Jonathan James Blaza | Family Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Kristy A Zechiel | Geriatric Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Alvin Stein | Internal Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Kattie Y Amegatcher | Family Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Huong-thao Thy Tran | Family Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Gene Lease | Family Medicine | Alliance Physicians Inc | 1250 National Rd, Suite 400, Clayton, OH 45315-9506 |
| Find all physicians in zip 45315 | |||
| City | CLAYTON |
| Zip Code | 45315 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLAYTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dava Derrick.
| 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.