Jeffrey Todd Davis, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

35.120017 Issued in OH

Practice address

568 S Cleveland Ave Ste B
Westerville, OH 43081

Phone

(614) 895-3344

Fax

(614) 895-3795

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdavis1052353@direct.osumc.edu

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

• Union County Physician Corporation

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1992941108
  Medicare reassignment NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment
• Sonoran Sports & Family Medicine PLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1942488861
  NPD (past) Authorized official
• Union County Physician Corporation

  • Occupational Medicine Physician
  • Marysville, OH
  • NPI 1497300172
  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1063414480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 S CLEVELAND AVE STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818970",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 S CLEVELAND AVE STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43081",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "30501",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.120017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926876",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Davidson, LISW-S
• Julie Daviduk
• Nenneh Vida Davies, PMHNP-BC
• Curtis Davis
• Inga Davis, AA
• Jessica Davis, LISW
• Jill Le Ann Davis, RN, IBCLC, RLC
• Tiyanna Camille Davis
• Jennifer Davitz, M.S., CCC-SLP
• Davken, Inc.

• Sports Medicine (Family Medicine) Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Sports Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.