Carl Richard Davis, MD | |
1102 Ne Parvin Road, #302, Kansas City, MO 64116 | |
(816) 560-3322 | |
Not Available |
Full Name | Carl Richard Davis |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1102 Ne Parvin Road, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629186770 | NPI | - | NPPES |
2006023528 | Other | MO | MEDICAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2006023528 (Missouri) | Primary |
Entity Name | Bothwell Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Mailing Address | Practice Location Address |
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Carl Richard Davis, MD 1102 Ne Parvin Road, #302, Kansas City, MO 64116 Ph: (816) 560-3322 | Carl Richard Davis, MD 1102 Ne Parvin Road, #302, Kansas City, MO 64116 Ph: (816) 560-3322 |
Dr. John Henry Beckett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9415 Ne 91st St, Kansas City, MO 64157 Phone: 321-953-2906 | |
Dr. Lynn A Hill, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Main St, Suite 300, Kansas City, MO 64105 Phone: 816-559-6331 | |
Christine Sullivan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1500 | |
Dr. John Lorei, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2047 | |
Shanda Riley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2171 | |
Thad A Stephens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Carondelet Dr Ste 200, Kansas City, MO 64114 Phone: 816-943-5690 Fax: 816-943-3156 | |
Stefanie R Ellison, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1536 |