Individual provider Active NPI

Gordon Scott Davis, DO

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1164457354
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L4902 Issued in TX
Practice address
17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337
Phone
(972) 488-8926
Fax
(972) 881-4390
NPI assigned
Jul 12, 2006
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L4902 TX Primary

Addresses

Primary practice location

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337

Mailing address

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337
Phone (972) 488-8926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040405001059 TX Practitioner - Anesthesiology 9739172958 Reassigns benefits to 5 organizations
I20260210000299 OK Practitioner - Anesthesiology 9739172958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Pilot Anesthesia PLLCGroup PAC ID 0648511444, 16 clinicians
TX-an Anesthesia PLLCGroup PAC ID 8527367937, 8 clinicians

Practice addresses (Care Compare)

11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone (888) 324-7432

17440 Dallas Pkwy
Suite 228
Dallas, TX 75287-7397
Phone (972) 588-4541

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4902TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Jun 15, 2025 Accepting new patients
Pilot Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Mar 31, 2021 Accepting new patients
TX-an Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Jun 15, 2025 Accepting new patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Jul 3, 2020 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology Past Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients

Locations (25 of 38)

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

5925 NW 139th St
Oklahoma City, OK 73142
Phone (405) 621-8800

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

17440 Dallas Pkwy
Ste 228
Dallas, TX 75287
Phone (972) 588-4541

17480 Dallas Pkwy
Ste 125
Dallas, TX 75287
Phone (469) 685-1700

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

601 Clara Barton Blvd
Ste 350
Garland, TX 75042
Phone (972) 426-9900

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1164457354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GORDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L4902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.