NPI
David P Davis
NPI 1053302240
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2005-11-04
- Last updated
- 2018-10-25
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Specialties
Licenses
- License IN
- 01039458A
- License IL
- 036086811
Location
- Practice location
- 890 E Ridgelawn Rd
- City
- Martinsville IL
- Postal code
- 62442-2551
- Phone
- (217) 382-4191
- Fax
- (217) 382-4248
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Martinsville, IL. 21 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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