Robert S Davis, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101035420 Issued in VA

Practice address

601 Old Wagner Rd
Suite 101
Petersburg, VA 23805-9313

Phone

(804) 524-2260

Fax

(804) 524-0096

NPI assigned

May 13, 2006

Last updated

Jul 7, 2016By the provider in NPPES

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• VMG Specialists PC

  • Pulmonary Disease Physician
  • Petersburg, VA
  • NPI 1295194983
  Medicare reassignment NPD
• Virginia Medical Group Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Colonial Heights, VA
  • NPI 1427129147
  Authorized official Same address or phone
• Virginia Medical Group PC

  • Specialist
  • Colonial Heights, VA
  • NPI 1164528881

  Pulmonary Disease

  NPD

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1164473146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "address_2": "SUITE 101",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-524-2260",
            "fax_number": "804-524-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "address_2": "SUITE 101",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-524-2260",
            "fax_number": "804-524-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101035420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6089127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110132404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David B Dameron, PH.D.
• Amy Dance
• Charles Monroe Davis, M.D.
• Jennifer Davis
• John Allen Davis III
• Nita Viann Randolph Davison
• Krista R. Day, MD
• Benedict Coleman Del Buono, MD
• Deatrice Delk, LPC
• Den of Epiphanies, LLC

• Pulmonary Disease Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.