Active NPI
Colin L Davis, MD
- Emergency Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD 60210114
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405-4234 - Phone
- (253) 403-1050
- NPI assigned
- Apr 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD 60210114 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Mailing address
PO Box 5215
Tacoma, WA 98415-0215
Phone (253) 403-4901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-7400
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 60210114 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Multicare Health System | Emergency Medicine | Current | Accepting new patients |
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current | Accepting new patients |
Locations
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
14815 Pacific Ave S
Tacoma, WA 98444
Phone (253) 697-8660
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- cdavis81716@direct.multicare.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1770823791
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Clinic/Center
- Hoodsport, WA
- NPI 1548699408
-
- Clinic/Center
- Shelton, WA
- NPI 1316174774
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1073854766
-
- Emergency Medicine Physician
- Covington, WA
- NPI 1295075216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1104091248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5215",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150215",
"telephone_number": "253-403-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054234",
"telephone_number": "253-403-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "COLIN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD 60210114",
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2012; 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.