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THEODORE EDWIN CLYDE DAVIES M.D., NPI 1487656658

Neurological Surgery in PADUCAH, KY

Last Updated on : May 07,2008

About THEODORE EDWIN CLYDE DAVIES (NPI 1487656658)


THEODORE EDWIN CLYDE DAVIES is a Neurological Surgery provider in PADUCAH, United States. His medical specialization is Neurological Surgery .

1487656658 is NPI number of THEODORE EDWIN CLYDE DAVIES.

THEODORE EDWIN CLYDE DAVIES's primary taxonomy code based on NPI Lookup is 207T00000X with license number 16229. This taxonomy code refers to Neurological Surgery.

THEODORE EDWIN CLYDE DAVIES has more than 16 years of experience.

THEODORE EDWIN CLYDE DAVIES current practice location address is 2603 KENTUCKY AVE, PADUCAH, KY. THEODORE EDWIN CLYDE DAVIES can be reached out via phone at 270-443-6472 and via fax at 270-442-1649 .

You can also correspond with THEODORE EDWIN CLYDE DAVIES through mail at mailing address 2603 KENTUCKY AVE, PADUCAH, KY, United States. Mailing address contact number is 270-443-6472.

The enumeration date of THEODORE EDWIN CLYDE DAVIES is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1487656658 NPI Information

Name THEODORE EDWIN CLYDE DAVIES
National Provider Id (NPI) 1487656658
Entity Type Individual
Gender M
Credential M.D.
Practice Address 2603 KENTUCKY AVE, STE 404
PADUCAH, KY, United States
Practice Telephone 270-443-6472
Practice Fax Number 270-442-1649
Mailing Address 2603 KENTUCKY AVE , STE 404
PADUCAH, KY, United States
Mailing Telephone 270-443-6472
Mailing Fax Number 270-442-1649
Enumeration Date 01-Jun-2005
Last Updated Date 07-May-2008

THEODORE EDWIN CLYDE DAVIES (NPI 1487656658) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207T00000X Neurological Surgery 16229 KY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00211001 MEDICARE PIN (08) KY
64162290 MEDICAID (05) KY
C71273 MEDICARE UPIN (02) KY
P00391203 Other (non-Medicare) (01) KY Railroad Medicare

THEODORE EDWIN CLYDE DAVIES (NPI 1487656658) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1174944573 ALLISON MARIE KALETCH Home Health Aide 1755 MCINTOSH RD,
PADUCAH, KY, United States
02-Jan-2014
1073670352 O J PHARMACY INC Pharmacy, Community/Retail Pharmacy 604 S 12TH ST,
MURRAY, KY, United States
03-Jan-2007
1013074335 JAMES CAUDILL Dentist 1927 IRVIN COBB DR, SUITE 1
PADUCAH, KY, United States
03-Jan-2007
1114462991 DEBORAH B RICHIE Social Worker 425 BROADWAY ST,
PADUCAH, KY, United States
03-Jan-2017
1679080329 BETHANY ANN DAVIS Occupational Therapy Assistant 4645 VILLAGE SQUARE DR STE A,
PADUCAH, KY, United States
03-Jan-2018
1548921422 KIMBERLY B CRIDER Behavior Technician 1321 MURFREESBORO PIKE STE 702,
NASHVILLE, TN, United States
04-Jan-2022
1982751293 BRIAN E MCLEAN Clinic/Center, Mental Health (Including Community Mental Health Center) 425 BROADWAY ST,
PADUCAH, KY, United States
05-Jan-2007
1871640102 LESLIE D STRATEGIER Psychologist, Clinical 801 N 36TH ST,
PADUCAH, KY, United States
05-Jan-2007
1952459281 FRANK JOSEPH KAUFMAN Dentist, General Practice 1401 BROADWAY ST, SUITE 4
PADUCAH, KY, United States
05-Jan-2007
1285964791 TIMOTHY RAY JONES Durable Medical Equipment & Medical Supplies 116 LONE OAK RD,
PADUCAH, KY, United States
05-Jan-2010
1881082550 SUSAN LEE Counselor, Professional 425 BROADWAY ST,
PADUCAH, KY, United States
05-Jan-2015
1679046239 KRISTIN WHIPPLE Registered Nurse, Lactation Consultant 1330 FRIEDMAN LN,
PADUCAH, KY, United States
07-Jan-2019
1740878735 JOSHUA LEE MOREHEAD Dietitian, Registered 1903 BROADWAY ST,
PADUCAH, KY, United States
05-Jan-2021
1467113118 ALI LAMPERT Nurse Practitioner, Family 1530 LONE OAK RD FL 3,
PADUCAH, KY, United States
05-Jan-2022
1568123180 CASEY L FORTHMAN Nurse Practitioner, Family 548 LONE OAK RD,
PADUCAH, KY, United States
05-Jan-2022
1598186827 TIFFANY BEASLEY Social Worker 425 BROADWAY ST,
PADUCAH, KY, United States
06-Jan-2014
1679046346 LAURIN BERRY Behavior Technician 6201 BENTON RD,
PADUCAH, KY, United States
06-Jan-2019
1760955439 SHAWNA NAGY Behavior Technician 6201 BENTON RD,
PADUCAH, KY, United States
06-Jan-2019
1417545492 SUSAN NICOLE COPASS Pharmacist 125 S 20TH ST,
PADUCAH, KY, United States
06-Jan-2021
1952991242 KASSANDRA PEARL CRISWELL Nurse Practitioner, Primary Care 1530 LONE OAK RD,
PADUCAH, KY, United States
21-Jan-2021

FAQs

Whose NPI Number is 1487656658?

1487656658 is the NPI number of THEODORE EDWIN CLYDE DAVIES.

What is the specialty for THEODORE EDWIN CLYDE DAVIES?

The Specialty of THEODORE EDWIN CLYDE DAVIES is Neurological Surgery.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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