John Mattison Davis in Evansville - Addiction Medicine
John Mattison Davis - NPI 1700857620
John Mattison Davis is a Addiction Medicine in Evansville, Indiana. John Mattison Davis practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John Mattison Davis is 1700857620. The last update date is 2021-12-07.
John Mattison Davis's current location address is 6211 Waterford Blvd, Evansville, Indiana. You can contact this provider via phone number 8124656202. The mailing address for John Mattison Davis is 6211 Waterford Blvd, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mattison Davis |
|---|---|
| Address | 6211 Waterford Blvd, Evansville, Indiana |
| Phone Number | 8124656202 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700857620 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2021-12-07 |
Provider Mailing Address Detail
| Address | 6211 Waterford Blvd |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477152869 |
| Phone Number | 8124656202 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 101264206 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00872494 | KY | RR MEDICARE | |
| 7100127820 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Mattison Davis by the Centers for Medicare & Medicaid Services?
The John Mattison Davis has been issued the NPI (National Provider Identifier) 1700857620 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Mattison Davis?
The John Mattison Davis is physically situated at 6211 Waterford Blvd, in the city of Evansville, state of IN, with the postal code 477152869.
What is John Mattison Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Mattison Davis is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 2084A0401X.
When did John Mattison Davis receive its 1700857620 assignment?
The John Mattison Davis was assigned its 1700857620 on 2006-01-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding John Mattison Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Mattison Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-07.