Individual provider Active NPI

Wesley Boyd Davis, M.D.

  • Obstetrics & Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1003892480
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD61187434 Issued in WA
Practice address
1717 S J St # Wa
Tacoma, WA 98405-4933
Phone
(253) 625-1104
NPI assigned
Dec 19, 2005
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14574 SD
Obstetrics & Gynecology Physician 207V00000X 7293324-1205 UT
Obstetrics & Gynecology Physician 207V00000X C202167 CA
Obstetrics & Gynecology Physician 207V00000X MD61187434 WA Primary

Addresses

Primary practice location

1717 S J St # Wa
Tacoma, WA 98405-4933

Mailing address

1525 E 6000 S
Ogden, UT 84405-7144
Phone (801) 337-5800

Other practice location 1

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

Other practice location 2

333 Mercy Ave
Merced, CA 95340-8319
Phone (864) 908-3530

Other identifiers 1

IdentifierTypeStateIssuer
1003892480MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SD, CA, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210628002655 WA Practitioner - Obstetrics/Gynecology 8527011105 Reassigns benefits to 2 organizations
I20231130000004 SD Practitioner - Obstetrics/Gynecology 8527011105 Reassigns benefits to 2 organizations
I20250710004409 CA Practitioner - Obstetrics/Gynecology 8527011105 Reassigns benefits to 1 organization
I20250822001463 AZ Practitioner - Obstetrics/Gynecology 8527011105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Arizona PCGroup PAC ID 8325206055, 7 clinicians

Practice addresses (Care Compare)

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C202167CAMDObstetrics & Gynecology Physician
7293324-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Obhg South Dakota PC Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 15, 2025 Accepting new patients
Rushmore OB-GYN PC Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Obhg Arizona, P.C. Obstetrics & Gynecology CurrentSince May 26, 2025 Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Jun 9, 2021 Accepting new patients
Multicare Health System Past Accepting new patients
Samir E. Hage, D.O., Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

3006 Tower Rd
Rapid City, SD 57701
Phone (605) 343-7295

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1717 S J St
Stop 101
Tacoma, WA 98405

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1003892480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 6000 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057144",
            "telephone_number": "801-337-5800",
            "fax_number": "801-337-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST # WA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-625-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Mercy Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408319",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WESLEY",
        "middle_name": "BOYD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "14574",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "7293324-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C202167",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61187434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003892480",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.