Sheldon Leonard Davis, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

R5753 Issued in MO

Practice address

226 S Woods Mill Rd Ste 48W
Chesterfield, MO 63017-3663

Phone

(314) 576-7503

Fax

(314) 576-2150

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1154416154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 48W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173663",
            "telephone_number": "314-576-7503",
            "fax_number": "314-576-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 48W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173663",
            "telephone_number": "314-576-7503",
            "fax_number": "314-576-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 N Cloverleaf Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766436",
            "country_code": "US",
            "telephone_number": "314-576-7503",
            "fax_number": "314-576-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHELDON",
        "middle_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R5753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201334901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05556",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Albert Davidson, MD
• Brenda Sue Davis
• Cynthia Davis, D.C.
• Deborah Lynn Davis, RPH
• Leslie Davis, LPC
• Glenn E. Davison, M.D.
• Dawn Bergman LPC, LLC
• Nishea Day
• Pablo Daniel Dayer, MD
• Dana Daylor, OTR

• Otolaryngology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.