Wayne Earl Davis (NPI# 1265663017, PAC ID# 9032352182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1265663017 |
| PAC ID by PECOS | 9032352182 |
| Professional Enrollment ID | I20150616000273 |
| Full Name | Wayne Earl Davis |
| Organization Legal Name | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Address |
201 S Baltimore B1 Kirksville MO 63501-3735 |
| Phone Number | 6606273395 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6507924263 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3600 Amron Ct, Columbia, MO 65202-1918 | 5738741616 | RETINA ASSOCIATES OF MISSOURI, P.C. |
| 201 S Baltimore, B1, Kirksville, MO 63501-3735 | 6606273395 | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry R Blair | Ophthalmology | Retina Associates of Missouri, P.C. | 3600 Amron Ct, Columbia, MO 65202-1918 |
| Clint W Kellogg | Ophthalmology | Retina Associates of Missouri, P.C. | 500 N Keene St, Suite 102, Columbia, MO 65201-8104 |
| Mari Ann Keithahn | Ophthalmology | Retina Associates of Missouri, P.C. | 201 S Baltimore, B1, Kirksville, MO 63501-3735 |
| Street Address |
201 S BALTIMORE B1 |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-3735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mari Ann Keithahn | Ophthalmology | Retina Associates of Missouri, P.C. | 201 S Baltimore, B1, Kirksville, MO 63501-3735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | KIRKSVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Wayne Earl 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.