Davis Urology, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DAVIS UROLOGY, PA

Practice address

624 W Main St
Yadkinville, NC 27055-7804

Phone

(336) 679-6784

Fax

(336) 679-6751

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John B Davis, M.D.

Title

Owner

Phone

(336) 679-6784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1164716155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557804",
            "telephone_number": "336-679-6784",
            "fax_number": "336-679-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557804",
            "telephone_number": "336-679-6784",
            "fax_number": "336-679-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-679-6784",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Yadkin Office of Treasurer (Yadkin County Health Department)
• County of Yadkin Office of Treasurer (Yadkin County DSS)
• Tabitha Hunt Cousart-Hutchens, NURSE PRACTITIONER
• CW Medical Inc
• D Rex Pharmacy of Yadkinville, LLC (D-REX Pharmacy Yadkinville)
• Ronald J. Davis, PHD
• Daymark Recovery Service Inc
• Daymark Recovery Services Inc
• Daymark Recovery Services Inc
• Deborah K Dennis, APRN BC FNP

• Urology Physician in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.