GLENN MONROE DAVIS MD
NPI 1225092018
Radiology - Diagnostic Radiology in Nacogdoches, TX

NPI Status: Active since April 17, 2006

Contact Information

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 569-9481

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About GLENN DAVIS

This page provides the complete NPI Profile along with additional information for Glenn Davis, a provider established in Nacogdoches, Texas with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1225092018 assigned on April 2006. The practitioner's primary taxonomy code is 2085R0202X with license number E6317 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1225092018
Provider Name
GLENN MONROE DAVIS MD
Gender
Male
Entity Type
Individual
Location Address
4920 NE STALLINGS DR NACOGDOCHES, TX 75965
Location Phone
(936) 569-9481
Mailing Address
PO BOX 2887 PORT ARTHUR, TX 77643
Mailing Phone
(800) 945-2455
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
04-17-2006
Last Update Date
12-01-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
E6317
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
132172109MEDICAID (05)TX 
C15091MEDICARE UPIN (02) 
P00760462MEDICARE PIN (08)TX 
8L12643MEDICARE PIN (08)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225092018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
224509402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 9 + 4 + 0 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1225092018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. LAURAYNE PITTMAN HURST PT

Physical Therapist

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 568-3158

THERESA MORTON R.N.

Registered Nurse

(Wound Care)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 568-3189

DAVID STEPHEN ARCHIE MD

Radiology

(Diagnostic Radiology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

ANCHOR RADIOLOGY ASSOCIATES PA

Radiology

(Diagnostic Radiology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

TYRREL C GROHMAN MD

Radiology

(Diagnostic Radiology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

NACOGDOCHES EMERGENCY MEDICINE ASSOCIATES PA

Emergency Medicine

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(800) 893-9698

MR. JERRY L MIXON CRNA

Nurse Anesthetist, Certified Registered

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

CHAUDRI SHAKOOR AHMED AWAN M.D.

Emergency Medicine

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

KATHRYN M. LEWIS, M.D., P.A.

Radiology

(Radiation Oncology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 568-3541

KRANTZ RADIOLOGY - NACOGDOCHES PA

Radiology

(Diagnostic Radiology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

NACOGDOCHES RADIOLOGY ASSOCIATES

Radiology

(Diagnostic Radiology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(409) 634-8311

JUSTIN PELHAM MS RD LD

Dietitian, Registered

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

JENNIFER RAEGAN BEST MBA, RD, LD

Dietitian, Registered

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 645-6942

DR. MARY ELIZABETH HEBERT M.D.

Radiology

(Radiation Oncology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 558-3715

BASTION EMERGENCY PHYSICIANS, PPLC

Emergency Medicine

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(469) 401-2386

ASTRAL EMERGENCY PHYSICIANS, PLLC

Emergency Medicine

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(469) 401-2386

DR. MICHAEL SCOTT LONG D.O.

Pathology

(Anatomic Pathology & Clinical Pathology)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(972) 526-0340

HANNAH DUNAHOE

Dietitian, Registered

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 558-3693

AMY ELLIZABETH BAGLEY-KRENEK FNP

Nurse Practitioner

(Family)

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

MAIN STREET ANESTHESIA OF TEXAS, PA

Anesthesiology

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965

(936) 569-9481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225092018, enumerated as an "individual" on April 17, 2006.

The provider is located at 4920 NE STALLINGS DR NACOGDOCHES, TX 75965 and the phone number is (936) 569-9481.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.