| Dr James R Davis, DO | |
|
1101 Michigan Ave, Logansport, IN 46947-1528 | |
| (574) 722-2663 | |
| Not Available |
| Full Name | Dr James R Davis |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1101 Michigan Ave, Logansport, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811958804 | NPI | - | NPPES |
| 036076015 | Medicaid | IL | |
| 3160469577 | Other | IL | BCBS |
| 000000808791 | Other | IN | ANTHEM |
| 200019369 | Other | IL | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036076015 (Illinois) | Secondary |
| 207X00000X | Orthopaedic Surgery | 02004167A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James R Davis, DO 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 722-2663 | Dr James R Davis, DO 1101 Michigan Ave, Logansport, IN 46947-1528 Ph: (574) 722-2663 |
Kral Varhan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-722-2663 | |
Dr. Jeryl Glynn Fullen, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-1729 | |
Dr. Ganeshan Ramachandran, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-722-2663 Fax: 574-753-1729 |