Jason Scott Davis in Normal - Diagnostic Radiology
Jason Scott Davis - NPI 1982639621
Jason Scott Davis is a Diagnostic Radiology in Normal, Illinois. Jason Scott Davis practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jason Scott Davis is 1982639621. The last update date is 2023-08-24.
Jason Scott Davis's current location address is 2200 Fort Jesse Rd, Normal, Illinois. You can contact this provider via phone number 3096643491. The mailing address for Jason Scott Davis is 2200 Fort Jesse Rd, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Scott Davis |
|---|---|
| Address | 2200 Fort Jesse Rd, Normal, Illinois |
| Phone Number | 3096643491 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982639621 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2023-08-24 |
Provider Mailing Address Detail
| Address | 2200 Fort Jesse Rd |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617616286 |
| Phone Number | 3096643491 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 281929 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL2613 | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason Scott Davis by the Centers for Medicare & Medicaid Services?
The Jason Scott Davis has been issued the NPI (National Provider Identifier) 1982639621 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jason Scott Davis's facilities are geographically located?
The facilities of Jason Scott Davis are physically situated at the following location: 2200 Fort Jesse Rd, Normal, IL, 617616286.
What is Jason Scott Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Scott Davis's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982639621 to Jason Scott Davis?
The Centers for Medicare & Medicaid Services originally issued the 1982639621 to Jason Scott Davis on 2006-07-11.
As of what date were the details related to Jason Scott Davis most recently updated or revised?
The information pertaining to Jason Scott Davis, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-24.