Michael Kevin Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0011756 Issued in DE

Practice address

316 Lantana Dr
Hockessin, DE 19707-8807

Phone

(302) 766-9700

NPI assigned

Jul 12, 2022

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE, MD3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBCACD/Endpoint/HBCACD
• Direct secure messaging: michael.davis@ghuccc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867

  MD

  Medicare reassignment Care Compare group
• Tower Health Urgent Care, LLC

  • Emergency Medicine Physician
  • Douglassville, PA
  • NPI 1194293647
  Medicare reassignment
• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1003540410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAXFORD DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024265",
            "telephone_number": "302-358-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 LANTANA DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078807",
            "telephone_number": "302-766-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E Crandell, PH.D.
• Fiona Eileen Cristinzio
• Denise Cybak, LMT
• Theresa B Dargis, PAC
• Corinne Daut, RN
• Troy Anthony Day
• De Pacs 2 PA
• Dianna Declemente
• Madelyn Deford, DMD
• Delaware Home Care Specialists

• Physician Assistant in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.