Active NPI
Paul John Davies, CRNA
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN3225512
- Practice address
- 3641 S Miami Ave
Miami, FL 33133-4205 - Phone
- (305) 854-0302
- Fax
- (305) 854-0308
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN3225512 | FL | Primary |
Addresses
Primary practice location
3641 S Miami Ave
Miami, FL 33133-4205
Mailing address
10738 SW 88TH St
Apt. K-7
Miami, FL 33176-1468
Phone (305) 274-0412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000720000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7500 SW 87TH Ave
Suite 101
Miami, FL 33173-5426
Phone (305) 595-9511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3225512 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1114165701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10738 SW 88TH ST",
"address_2": "APT. K-7",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761468",
"telephone_number": "305-274-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3641 S MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334205",
"telephone_number": "305-854-0302",
"fax_number": "305-854-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "PAUL",
"middle_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN3225512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000720000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.