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
- 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
- Code Navigator
Location Map
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 |
---|---|---|---|
132172109 | MEDICAID (05) | TX | |
C15091 | MEDICARE UPIN (02) | ||
P00760462 | MEDICARE PIN (08) | TX | |
8L12643 | MEDICARE 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. | |||||||||
1 | 2 | 2 | 5 | 0 | 9 | 2 | 0 | 1 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 4 | 5 | 0 | 9 | 4 | 0 | 2 | |
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 = 8 | 8 |
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
THERESA MORTON R.N.
Registered Nurse
(Wound Care)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
DAVID STEPHEN ARCHIE MD
Radiology
(Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
ANCHOR RADIOLOGY ASSOCIATES PA
Radiology
(Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
TYRREL C GROHMAN MD
Radiology
(Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
NACOGDOCHES EMERGENCY MEDICINE ASSOCIATES PA
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
MR. JERRY L MIXON CRNA
Nurse Anesthetist, Certified Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
CHAUDRI SHAKOOR AHMED AWAN M.D.
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
KATHRYN M. LEWIS, M.D., P.A.
Radiology
(Radiation Oncology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
KRANTZ RADIOLOGY - NACOGDOCHES PA
Radiology
(Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
NACOGDOCHES RADIOLOGY ASSOCIATES
Radiology
(Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
JUSTIN PELHAM MS RD LD
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
JENNIFER RAEGAN BEST MBA, RD, LD
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
DR. MARY ELIZABETH HEBERT M.D.
Radiology
(Radiation Oncology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
BASTION EMERGENCY PHYSICIANS, PPLC
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
ASTRAL EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
DR. MICHAEL SCOTT LONG D.O.
Pathology
(Anatomic Pathology & Clinical Pathology)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
HANNAH DUNAHOE
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
AMY ELLIZABETH BAGLEY-KRENEK FNP
Nurse Practitioner
(Family)
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
MAIN STREET ANESTHESIA OF TEXAS, PA
Anesthesiology
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
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.