Active NPI
Barbara L Davis, MD
- Pediatrics Physician
- Mentor, OH
National Provider Identifier
1174626659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35043690
- Practice address
- 9485 Mentor Avenue
#101
Mentor, OH 44060 - Phone
- (440) 205-5800
- Fax
- (440) 205-5801
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35043690 | OH | Primary |
Addresses
Primary practice location
9485 Mentor Avenue
#101
Mentor, OH 44060
Mailing address
PO Box 714328
Columbus, OH 43271-4328
Phone (800) 354-1985
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1174626659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714328",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432714328",
"telephone_number": "800-354-1985",
"fax_number": "440-350-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9485 MENTOR AVENUE",
"address_2": "#101",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-205-5800",
"fax_number": "440-205-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BARBARA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35043690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.