| Keith L Davis Md | |
|
2420 Lake Ave Ashtabula OH 44004-2420 | |
| (440) 994-7582 | |
| (440) 994-7539 |
| Full Name | Keith L Davis Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2420 Lake Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Linda Mcgirr (OWNER OF JEFFERSON BILLING, INC) |
| Authorized Official Contact | 8006735312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith L Davis Md Po Box 3111 Warren OH 44485-3111 Ph: (800) 673-5312 | Keith L Davis Md 2420 Lake Ave Ashtabula OH 44004-2420 Ph: (440) 994-7582 |
| NPI Number | 1326379975 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326379975 | NPI | - | NPPES |
| 0658891 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052285 (Ohio) | Primary |
Ashtabula County Community Action Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 State Rd, Ashtabula, OH 44004 Phone: 440-998-7515 Fax: 440-998-0973 | |
Signature Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-6600 | |
Uh Ashtabula Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004 Phone: 440-964-8387 | |
Choong H. Kim, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 Lake Ave, Ashtabula, OH 44004 Phone: 440-998-1200 | |
Ashok V. Kondru, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Lake Ave, Ashtabula, OH 44004 Phone: 440-998-0322 Fax: 440-998-4525 | |
Rural Health Clinic Of Ashtabula Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 W 24th St, Ashtabula, OH 44004 Phone: 440-997-6915 | |
City Of Ashtabula Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4717 Main Ave, Ashtabula, OH 44004 Phone: 440-992-7122 |