| Mark Rogers Davenport, MD | |
|
1027 E Main St, Morristown, TN 37814-6632 | |
| (423) 581-5984 | |
| (423) 581-0984 |
| Full Name | Mark Rogers Davenport |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1027 E Main St, Morristown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952303315 | NPI | - | NPPES |
| 3089699 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD0000026233 (Tennessee) | Primary |
| Entity Name | Hamblen Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821007485 PECOS PAC ID: 3476520875 Enrollment ID: O20040915000212 |
| Entity Name | Knoxville Ophthalmology Asc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622413 PECOS PAC ID: 2668557232 Enrollment ID: O20080710000504 |
| Entity Name | East Tennessee Center For Orthopaedic Excellence Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235545583 PECOS PAC ID: 3870713910 Enrollment ID: O20141013001326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Rogers Davenport, MD Po Box 1718, Morristown, TN 37816-1718 Ph: (423) 581-5987 | Mark Rogers Davenport, MD 1027 E Main St, Morristown, TN 37814-6632 Ph: (423) 581-5984 |
Dr. Allen Ricardo Foster, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 Bowman St, Suite 3, Morristown, TN 37813 Phone: 423-318-0097 Fax: 423-318-7682 | |
Dennis G Harris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 W Morris Blvd, Ste 130, Morristown, TN 37813 Phone: 423-581-3939 Fax: 423-318-2200 | |
Jose Lopez-romero, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 230 Bowman St Ste C, Morristown, TN 37813 Phone: 423-586-3249 Fax: 423-586-3250 | |
Dr. Thomas W Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1964 Jellicorse Rd, Morristown, TN 37814 Phone: 423-581-4881 Fax: 423-581-8266 |