Diane L. Davis, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054307 Issued in PA

Practice address

3101 Bristol Rd
Bensalem, PA 19020-2168

Phone

(215) 752-1400

Fax

(215) 750-8067

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: diane.davis@johnjbowdenjrdopc.chartmakerdirect.com

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1144539248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-752-1400",
            "fax_number": "215-750-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-752-1400",
            "fax_number": "215-750-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANE",
        "middle_name": "L.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054307",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joann E Danishanko-Horan, PA-C
• Marie Davies
• Davr LLC
• DB Global Travels LLC
• Dean M Ruday DPM
• Gerald Paul Deangelis, DPM
• Ember Elizabeth Debonaventura

• Physician Assistant in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.