NPIMap

Individual provider Active NPI

Charles William Davis II, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wesley Chapel, FL
National Provider Identifier
1083758536
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME129293 Issued in FL
Practice address
2629 Windguard Cir
Wesley Chapel, FL 33544-7355
Phone
(813) 994-2225
NPI assigned
Feb 17, 2007
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X D0066013 MD
Orthopaedic Surgery of the Spine Physician 207XS0117X ME129293 FL Primary

Addresses

Primary practice location

2629 Windguard Cir
Wesley Chapel, FL 33544-7355

Mailing address

31242 Amberlea Rd
Dade City, FL 33523-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405000856 FL Practitioner - Orthopedic Surgery 2567559362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Maryland School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Spine and Orthopaedics LLCGroup PAC ID 4183964448, 2 clinicians

Practice addresses (Care Compare)

1661 Davenport Dr
Trinity, FL 34655-4231
Phone (813) 994-2225

2629 Windguard Cir
Wesley Chapel, FL 33544-7355
Phone (813) 994-2225

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066013MDMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Orthopaedic & Sports Medicine Center Past Accepting new patients
Charles W. Davis II MD LLC Past Accepting new patients
Spine & Sports Physical Therapy & Diagnostics, LLC PastSince Jan 28, 2016 Accepting new patients
Chesapeake Orthopaedic and Sports Medicine Center PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEGBD/Endpoint/FGEGBD
  • Direct secure messaging: charles.davis@3463.securemail.prognocis.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1083758536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31242 AMBERLEA RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335237221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 WINDGUARD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447355",
            "telephone_number": "813-994-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MD",
            "license": "D0066013",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME129293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.