Active NPI
Wesley Boyd Davis, M.D.
- Obstetrics & Gynecology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD61187434
- Practice address
- 1717 S J St # Wa
Tacoma, WA 98405-4933 - Phone
- (253) 625-1104
- NPI assigned
- Dec 19, 2005
- Last updated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003892480 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, SD, CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C202167 | CA | MD | Obstetrics & Gynecology Physician |
| 7293324-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Obhg South Dakota PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Rushmore OB-GYN PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Obhg Arizona, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Washington, PC | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1902188642
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
-
- Obstetrics & Gynecology Physician
- Rapid City, SD
- NPI 1164110243
-
- Obstetrics & Gynecology Physician
- Rapid City, SD
- NPI 1316050214
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- Obstetrics & Gynecology Physician
- Redlands, CA
- NPI 1811184179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.