Individual provider Active NPI

Lowell Scott Davis, DO

  • Interventional Pain Medicine Physician
  • Miramar, FL
National Provider Identifier
1114907409
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS9166 Issued in FL
Practice address
1951 SW 172ND Ave
#314
Miramar, FL 33029-5593
Phone
(954) 447-5206
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS9166 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS9166 FL

Addresses

Primary practice location

1951 SW 172ND Ave
#314
Miramar, FL 33029-5593

Mailing address

PO Box 817737
Hollywood, FL 33081-1737

Other identifiers 2

IdentifierTypeStateIssuer
44147OtherFLBCBS
270851500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041022000982 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 4981665916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Water Pain Solutions, PAGroup PAC ID 0143547232, 7 clinicians

Practice addresses (Care Compare)

1951 SW 172ND Ave
Miramar, FL 33029-5613
Phone (954) 447-5206

1951 Sw172Nd Ave
Suite 314
Miramar, FL 33029-5614
Phone (954) 447-5206

2 Oakwood Blvd
Suite 195
Hollywood, FL 33020-1962
Phone (954) 447-5206

2010 NW 150TH Ave
Suite 100
Pembroke Pines, FL 33028-2888
Phone (954) 447-5206

4850 W Oakland Park Blvd
Suite 201
Lauderdale, FL 33313-7268
Phone (954) 447-5206

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Rehab Associates, P.a. CurrentSince Dec 12, 2025 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Feb 12, 2013 Accepting new patients
Regional Rehab Associates PA CurrentSince Dec 12, 2025 Accepting new patients
Blue Water Pain Solutions, PA Pain Medicine CurrentSince Aug 5, 2014 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 12, 2013 Accepting new patients

Locations

455 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 319-4545

2 Oakwood Blvd
Ste 195
Hollywood, FL 33020
Phone (305) 459-3410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1951 SW 172nd Ave
Ste 314
Miramar, FL 33029
Phone (549) 447-5206

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

120 NE 167th St
North Miami Beach, FL 33162
Phone (305) 940-5100

2010 NW 150th Ave
Ste 100
Pembroke Pines, FL 33028
Phone (754) 264-8779

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHEAD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1114907409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817737",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330811737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "#314",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-447-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LOWELL",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS9166",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS9166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44147",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270851500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.