Stephen R Davenport, MD | |
41889 Florida Ave, Hemet, CA 92544-5042 | |
(519) 652-8700 | |
(888) 827-0236 |
Full Name | Stephen R Davenport |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 41889 Florida Ave, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174619720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 20809 (Oklahoma) | Secondary |
207X00000X | Orthopaedic Surgery | G171708 (California) | Primary |
Entity Name | Golden State Orthopedics & Spine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972552990 PECOS PAC ID: 8224940739 Enrollment ID: O20031103000721 |
Entity Name | Webster Orthopaedic Medical Group, A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316914385 PECOS PAC ID: 9830098037 Enrollment ID: O20040206000671 |
Entity Name | Seven Star Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710580808 PECOS PAC ID: 4789091026 Enrollment ID: O20210401001919 |
Mailing Address | Practice Location Address |
---|---|
Stephen R Davenport, MD 41889 Florida Ave, Hemet, CA 92544-5042 Ph: (951) 652-8700 | Stephen R Davenport, MD 41889 Florida Ave, Hemet, CA 92544-5042 Ph: (519) 652-8700 |
Dr. Damon A Alavekios, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 41889 Florida Ave, Hemet, CA 92544 Phone: 951-652-8700 Fax: 888-827-0236 | |
Dr. Jai H Lee, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 E Latham Ave, Ste A, Hemet, CA 92543 Phone: 951-652-8700 Fax: 951-766-9944 |