MEDICARE: JAMES F. DEVOE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	15750	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699846550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES F. DEVOE MD

Provider Business Mailing Address
First Line	:	2865 JAMES BLVD
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-2803
Country	:	US
Telephone Number	:	573-776-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4262 S AMHERST HWY STE 200
Second Line	:
City	:	MADISON HEIGHTS
State	:	VA
Zip	:	24572-5363
Country	:	US
Telephone Number	:	434-528-4640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/03/2019

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