JERRY M. DAVENPORT D. O. – NPI #1003935453
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JERRY DAVENPORT is a physician located in NOME, AK. NPPES has assigned the NPI number 1003935453 to JERRY DAVENPORT on March 28, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Jan 26, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERRY DAVENPORT below.

NPI Profile for
JERRY M. DAVENPORT

NPI Number
1003935453
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JERRY M. DAVENPORT
Credentials
D. O.
Primary location
306 W 5TH AVE
NORTON SOUND HEALTH COOPERATION
NOME, AK 99762
Phone: (907) 443-3214 Fax:
Mailing address
9223 STONE RIDGE CIR
SANDY, UT 84093-2698
Phone: (801) 944-1335 Fax: (801) 944-1335
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
AK 4105

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.