Active NPI
Donn Marshall Davis, MD
- Radiation Oncology Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 58993
- Practice address
- 1100 Gail Gardner Way
Prescott, AZ 86305-1690 - Phone
- (928) 776-1040
- Fax
- (928) 776-1041
- NPI assigned
- Nov 25, 2005
- Last updated
- Mar 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39768 | CO | |
| Radiation Oncology Physician | 2085R0001X | G53197 | CO | |
| Radiation Oncology Physician | 2085R0001X | 58993 | AZ | Primary |
Addresses
Primary practice location
1100 Gail Gardner Way
Prescott, AZ 86305-1690
Mailing address
PO Box 810221
Dallas, TX 75381-0221
Phone (520) 519-7700
Other practice location 1
7825 E Florentine Rd
Prescott Valley, AZ 86314-2217
Phone (928) 775-0810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75206307 | Medicaid | CO | |
| 920007066 | Other | CO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Nebraska College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Gail Gardner Way
Prescott, AZ 86305-1690
Phone (928) 776-1040
5430 Landmark LN
Prescott, AZ 86301-0019
Phone (928) 775-9430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39768 | CO | MD | Specialist |
| 58993 | AZ | MD | Radiation Oncology Physician |
| G53197 | CO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Specialist | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Radiation Oncology | Current | Accepting new patients |
| HCA-Healthone, LLC | Past | Accepting new patients | |
| Valley Radiotherapy Associates Medical Group Inc | Specialist | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
1100 Gail Gardner Way
Prescott, AZ 86305
Phone (520) 776-1040
5430 Landmark Ln
Prescott, AZ 86301
Phone (928) 775-9430
3188 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 775-9430
7825 E Florentine Rd
Prescott Valley, AZ 86314
Phone (928) 775-0810
1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720
2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Networks
- NM HMO C-SNP
Interoperability endpoints
- donn.davis@aoa.ikm.direct-ci.com
- mdavis@theusoncology.direct.varian.com
Organizations & group practices 4
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Radiation Oncology
-
- Specialist
- Manhattan Beach, CA
- NPI 1437102092
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Western Regional Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1710138037
Hospital
-
dba City of Hope Cancer Center Arizona
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1003899816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810221",
"city": "DALLAS",
"state": "TX",
"postal_code": "753810221",
"telephone_number": "520-519-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GAIL GARDNER WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051690",
"telephone_number": "928-776-1040",
"fax_number": "928-776-1041"
}
],
"practiceLocations": [
{
"address_1": "7825 E Florentine Rd",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863142217",
"country_code": "US",
"telephone_number": "928-775-0810",
"fax_number": "928-775-0827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DONN",
"middle_name": "MARSHALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "39768",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CO",
"license": "G53197",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "58993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75206307",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920007066",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.