Individual provider Active NPI

Deborah Ann Davis, MD

  • Pediatric Anesthesiology Physician
  • Wilmington, DE
National Provider Identifier
1053402321
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
C10005258 Issued in DE
Practice address
A.I. Dupont Hospital for Children
1600 Rockland Road
Wilmington, DE 19803-3607
Phone
(302) 651-4000
Fax
(302) 651-4945
NPI assigned
Sep 28, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C10005258 DE
Anesthesiology Physician 207L00000X MA07532800 NJ
Anesthesiology Physician 207L00000X MD026618E PA
Pediatric Critical Care Medicine Physician 2080P0203X C10005258 DE
Pediatric Critical Care Medicine Physician 2080P0203X MA07532800 NJ
Pediatric Critical Care Medicine Physician 2080P0203X MD026618E PA
Pediatric Anesthesiology Physician 207LP3000X C10005258 DE Primary
Pediatric Anesthesiology Physician 207LP3000X MA07532800 NJ
Pediatric Anesthesiology Physician 207LP3000X MD026618E PA

Addresses

Primary practice location

A.I. Dupont Hospital for Children
1600 Rockland Road
Wilmington, DE 19803-3607

Mailing address

Nemours Childrens Clinic
P.O. Box 404112
Atlanta, GA 30384-0001
Phone (904) 390-3610

Other identifiers 8

IdentifierTypeStateIssuer
001042177MedicaidPA
02103877MedicaidNY
0441023MedicaidMD
1569950MedicaidLA
806265200MedicaidID
2364409MedicaidNJ
64017239MedicaidKY
Q05258MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001522 PA Practitioner - Anesthesiology 1658368188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10005258DEMDPediatric Critical Care Medicine Physician
MA07532800NJMDPediatric Critical Care Medicine Physician
MD026618EPAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2015 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2015 Accepting new patients
SCHC Pediatric Associates, LLC Pediatric Critical Care Medicine Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: ddavis1911@direct.nemours.org

Organizations & group practices 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1053402321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEMOURS CHILDRENS CLINIC",
            "address_2": "P.O. BOX 404112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001",
            "telephone_number": "904-390-3610",
            "fax_number": "904-288-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A.I. DUPONT HOSPITAL FOR CHILDREN",
            "address_2": "1600 ROCKLAND ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
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            "desc": "Anesthesiology",
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            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Anesthesiology",
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            "license": "MA07532800",
            "primary": false
        },
        {
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            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD026618E",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
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        },
        {
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            "taxonomy_group": "",
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            "license": "MA07532800",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
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            "state": "PA",
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        },
        {
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            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "MA07532800",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD026618E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001042177",
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        },
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            "issuer": null,
            "identifier": "02103877",
            "state": "NY"
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441023",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1569950",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806265200",
            "state": "ID"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364409",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017239",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q05258",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.