William M. Davis, M.D.
Individual provider Active NPI Family Medicine Physician · Shamrock, TX
NPI 1821444530 · NPPES record last updated Jul 22, 2019
Key facts
- NPI
- 1821444530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- S2759 (TX)
- Practice address
- 1010 S Main St
Shamrock, TX 79079-2820 - Phone
- (806) 256-5148
- NPI assigned
- May 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Throckmorton County Memorial Hosp
Practice addresses (Care Compare)
802 N Minter Ave
Throckmorton, TX 76483-5357
Phone (940) 849-2151
Hospital & facility affiliations
- Throckmorton County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190927001302 | TX | Practitioner - Family Practice |
7416243365 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Concho County Hospital District | Current |
Accepting new patients | |
| Throckmorton County Memorial Hosp | Current |
Accepting new patients | |
| Concho County Hospital District | Family Medicine | Current | Accepting new patients |
| Fisher County Hospital District | Current | Accepting new patients | |
| Concho County Hospital District | Current |
Accepting new patients | |
| Ballinger Memorial Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current |
Accepting new patients | |
| Fisher County Hospital District | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| South Wheeler County Hospital District | Past |
Accepting new patients | |
| Throckmorton County Memorial Hosp | Past | Accepting new patients | |
| Throckmorton County Memorial Hosp | Past | Accepting new patients |
Locations
608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256
802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2141
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/throckm-3dd57dc3
- https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S2759 | TX | Yes |
Addresses
Primary practice location
1010 S Main St
Shamrock, TX 79079-2820
Mailing address
1010 S Main St
Shamrock, TX 79079-2820
Phone (806) 256-5148
Other providers in Shamrock, TX
- Daissy Shary Cadena
- Davis Emergency Medical Services PLLC
- Debra Rae Doebele
- Katherine Fires
- Hylands Pharmacy LLC
- Manuel Juson
- Kindstar, Inc.
All providers in Shamrock, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.