Charles Donavan Davis
MD | Pediatrics | Male
Charles Donavan Davis, MD is a Gallipolis, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Charles Donavan Davis is
100 Jackson Pike, Gallipolis, Ohio - 45631. He can be contacted on phone at
855-446-5937 and fax number 740-446-5711.
Charles Donavan Davis is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Donavan Davis is
1669869566 which was assigned by NPPES on 20 Apr, 2015 and it was last updated on 21 Jan, 2021.
Charles Donavan Davis license number is
35.134233 for Pediatrics (208000000X) in Ohio.
Charles Donavan Davis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charles Donavan Davis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Charles Donavan Davis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Charles Donavan Davis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Jackson Pike
Gallipolis, OH, 45631
United States |
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| Phone Number : | 855-446-5937 |
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| Fax Number : | 740-446-5711 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669869566 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2015 |
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| Last Updated On : | 21 Jan, 2021 |
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Medicare Participation:
Charles Donavan Davis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6901113810 |
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| Medicare Enrollment ID : | I20180924002666 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2015 |
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| Accepts Medicare? | Yes. Charles Donavan Davis accepts medicare insurance. |
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Group Practice Association:
Charles Donavan Davis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Charles Donavan Davis is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Holzer Clinic Llc | 5890606008 | 244 | 100 Jackson Pike
Gallipolis, OH - 456311560
Ph: 7404465050 | Yes |
| Holzer Clinic Llc | 5890606008 | 244 | 280 Pattonsville Rd
Jackson, OH - 456409452
Ph: 7403958805 | Yes |
| Holzer Clinic Llc | 5890606008 | 244 | 2605 Jackson Ave
Point Pleasant, WV - 255501615
Ph: 3046754498 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Donavan Davis are as mentioned. Primary taxonomy code for Charles Donavan Davis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35.134233 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Charles Donavan Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0311469 | MEDICAID | OH | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | charles.davis.1@17389.direct.athenahealth.com
| No affiliation |
|
| 100 JACKSON PIKE,
GALLIPOLIS, OH, 45631
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 90 Jackson Pike
Gallipolis, OH, 45631-1562
United States |
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| Phone Number : | 855-446-5937 |
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| Fax Number : | 740-446-5711 |
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Business Location:
Patients can refer following map for directions to
Charles Donavan Davis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.