Active NPI
William R Davis, MD
- Cardiovascular Disease Physician
- Wauwatosa, WI
National Provider Identifier
1174585657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 36170
- Practice address
- 2600 N Mayfair Rd
#950
Wauwatosa, WI 53226-1309 - Phone
- (414) 456-1123
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36170 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd
#950
Wauwatosa, WI 53226-1309
Mailing address
2600 N Mayfair Rd
#950
Wauwatosa, WI 53226-1309
Phone (414) 456-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32085100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36170 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Heart Scan, LLC | Past | Accepting new patients | |
| Wisconsin Heart Group | Cardiovascular Disease | Past | Accepting new patients |
| Wisconsin Heart Group Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| William R Davis MD SC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wauwatosa, WI
- NPI 1982636726
-
- Specialist
- Milwaukee, WI
- NPI 1346345956
-
- Cardiovascular Disease Physician
- Brookfield, WI
- NPI 1326086943
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brookfield, WI
- NPI 1639402365
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1174585657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "#950",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-456-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "#950",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-456-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "36170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32085100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.