Individual provider Active NPI

William M Davies, M.D.

  • Cardiovascular Disease Physician
  • Oregon City, OR
National Provider Identifier
1154327625
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD24698 Issued in OH
Practice address
1510 Division St Ste 200
Oregon City, OR 97045-1599
Phone
(503) 962-1000
NPI assigned
Jun 21, 2005
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD24698 OH Primary

Addresses

Primary practice location

1510 Division St Ste 200
Oregon City, OR 97045-1599

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

1510 Division St Ste 100
Oregon City, OR 97045-1572
Phone (503) 962-1000

Other identifiers 1

IdentifierTypeStateIssuer
227294MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wdavies113266@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040227000072 OR Practitioner - Cardiovascular Disease (Cardiology) 3577459353 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Geisel School of Medicine at Dartmouth, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300

1108 June St
Hood River, OR 97031-1513
Phone (541) 387-6125

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 557-2136

18040 SW Lower Boones Ferry Rd
Tigard, OR 97224-7259

200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (203) 263-9500

200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550

4400 NE Halsey St
Portland, OR 97213-1545

4805 NE Glisan St
Portland, OR 97213-2933

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24698OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 11, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 27, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 12, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 27, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 11, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 12, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2018 Accepting new patients
Legacy Meridian Park Hospital Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients
Pacific Heart Associates PC Past Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

200 S Hazel Dell Way
Ste 200
Canby, OR 97013
Phone (503) 263-9500

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

1510 Division St
Ste 100
Oregon City, OR 97045
Phone (503) 216-6050

1510 Division St
Ste 200
Oregon City, OR 97045
Phone (503) 650-6880

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 Skyline Village Loop S
Salem, OR 97306
Phone (503) 291-2123

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 7

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1154327625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 DIVISION ST STE 200",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451599",
            "telephone_number": "503-962-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Division St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451572",
            "country_code": "US",
            "telephone_number": "503-962-1000",
            "fax_number": "503-742-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "MD24698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227294",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdavies113266@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1510 Division St Ste 100",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970451572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.