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DR. THEODORE EDWIN CLYDE DAVIES M.D. NPI 1487656658


NPI Information

NPI: 1487656658
Provider Name: DR. THEODORE EDWIN CLYDE DAVIES, M.D.
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual
Address:
2603 KENTUCKY AVE
STE 404
PADUCAH, KY
ZIP 42003
Phone: (270) 443-6472
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DR. Theodore Edwin Clyde Davies, M.D. is a neurological surgery in Paducah, KY. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR. Theodore Edwin Clyde Davies, M.D. NPI is 1487656658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2603 KENTUCKY AVE
STE 404
PADUCAH, KY
ZIP 42003-814
Phone: (270) 443-6472
Fax: (270) 442-1649

The enumeration date for this NPI number is 6/1/2005 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery16229KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100211001MEDICARE PINKENTUCKY
2P00391203OTHERKENTUCKYRAILROAD MEDICARE
364162290MEDICAIDKENTUCKY
4C71273MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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