Peter Davenport (NPI# 1134395973, PAC ID# 9032273867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134395973 |
| PAC ID by PECOS | 9032273867 |
| Professional Enrollment ID | I20191107002135 |
| Full Name | Peter Davenport |
| Organization Legal Name | LA PLATA FAMILY MEDICINE ASSOC PC |
| Address |
316 Sawyer Dr Durango CO 81303-6560 |
| Phone Number | 9702593110 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496727240 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 316 Sawyer Dr, Durango, CO 81303-6560 | 9702593110 | LA PLATA FAMILY MEDICINE ASSOC PC |
| Organization Legal Name | LA PLATA FAMILY MEDICINE ASSOC PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jude Bennett Harrison | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Mandy J Morford | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Jordan L Loftis | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Lauren N Loftis | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Martin Bradley Lyons | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Ryan Duvall | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Susan Julie Ann Weber | Family Practice | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Street Address |
316 SAWYER DR |
| City | DURANGO |
| State | CO |
| Zip | 81303-6560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jude Bennett Harrison | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Mandy J Morford | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Jordan L Loftis | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Lauren N Loftis | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Sejal S Quayle | Urology | 316 Sawyer Dr, Durango, CO 81303-6560 | |
| Martin Bradley Lyons | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Ryan Duvall | Family Medicine | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Susan Julie Ann Weber | Family Practice | La Plata Family Medicine Assoc PC | 316 Sawyer Dr, Durango, CO 81303-6560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Jean Jordeth | Physician Assistant | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Olive A Holmes | Clinical Social Worker | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Anne Dizenzo | Clinical Social Worker | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Peggy J Bayless | Clinical Social Worker | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Sherry L Ketner | Nurse Practitioner | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Brittany Brumfield | Clinical Social Worker | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Erick L Ireland | Physician Assistant | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Brian P Ensign | Clinical Social Worker | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Stephan J Kitson | Psychiatry | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Andrew D Rosenbach | Psychiatry | Southwest Colorado Mental Health Center Inc | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 |
| Find all physicians in zip 81303 | |||
| City | DURANGO |
| Zip Code | 81303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DURANGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter 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.