Individual
DR. JOHN MATTISON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101264206
VA
2084P0800X
Psychiatry Physician
Primary
0101264206
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100127820
—
KY
01
—
P00872494
RR MEDICARE
KY
Enumeration date
01/30/2006
Last updated
12/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us