Davis ENT Specialists, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

7762A Issued in WY

Legal business name

DAVIS ENT SPECIALISTS, PC

Practice address

407 S Medical Arts CT
Ste. C
Gillette, WY 82716-3372

Phone

(307) 686-7346

Fax

(307) 682-1485

NPI assigned

Jan 18, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Clifford Davis, MDNPI 1336139120

Title

Owner, Medical Doctor

Phone

(307) 686-7346

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Tax ID family

Davis ENT Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Davis ENT Specialists, PC

  • Durable Medical Equipment & Medical Supplies
  • Gillette, WY
  • NPI 1558660498
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Clifford Davis, M.D.

  • Otolaryngology Physician
  • Gillette, WY
  • NPI 1336139120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1124323480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MEDICAL ARTS CT",
            "address_2": "STE. C",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163372",
            "telephone_number": "307-686-7346",
            "fax_number": "307-682-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MEDICAL ARTS CT",
            "address_2": "STE. C",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163372",
            "telephone_number": "307-686-7346",
            "fax_number": "307-682-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ENT SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER, MEDICAL DOCTOR",
        "authorized_official_telephone_number": "307-686-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "7762A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WY",
            "license": "7762A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Daigle, MA,LPC,CCC
• Barbara Lynne Daley, PSYD
• Daniel L Morin DDS Ms PC
• Kristi Lynn David, AA
• Daniel Davidovich Young, M.D.
• Davis ENT Specialists, PC
• Davis Home Health LLC (Healing Hearts Home Health)
• Davis Hospice, LLC (Healing Hearts Hospice)
• Davis Outpatient Therapy LLC (Healing Hearts Home Health Outpatient Therapy)
• Bethany Davis

• Otolaryngology Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Otolaryngology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.