Active NPI
Paul C. Davis, MD
- Diagnostic Radiology Physician
- Portsmouth, VA
National Provider Identifier
1164512992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PAUL C. DAVIS, MD
- Practice address
- 355 Crawford St
Suite 102
Portsmouth, VA 23704-2816 - Phone
- (757) 397-3400
- Fax
- (757) 399-0371
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul C Davis, M.D.
- Title
- President
- Phone
- (757) 397-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
355 Crawford St
Suite 102
Portsmouth, VA 23704-2816
Mailing address
PO Box 12212
Newport News, VA 23612-2212
Phone (757) 867-6101
National Provider Directory
National Provider DirectoryLocations
2125 Smith Ave
Chesapeake, VA 23320
Phone (757) 523-9692
600 Gresham Dr
Ste 8610
Norfolk, VA 23507
Phone (757) 252-9015
460 S Independence Blvd
Virginia Beach, VA 23452
Phone (757) 497-3439
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1942201504
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1174522551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164512992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12212",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236122212",
"telephone_number": "757-867-6101",
"fax_number": "757-867-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CRAWFORD ST",
"address_2": "SUITE 102",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042816",
"telephone_number": "757-397-3400",
"fax_number": "757-399-0371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL C. DAVIS, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-397-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.