Individual provider Active NPI

Christopher Michael Davies, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Duluth, MN
National Provider Identifier
1194165050
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
63938 Issued in MN
Practice address
1420 London Rd Ste 100
Duluth, MN 55805-2437
Phone
(218) 728-8548
Fax
(218) 728-8554
NPI assigned
Jun 25, 2013
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2017-00765 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 84314-20 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 2016012316 MO
Pain Medicine (Anesthesiology) Physician 207LP2900X 63938 MN Primary

Addresses

Primary practice location

1420 London Rd Ste 100
Duluth, MN 55805-2437

Mailing address

14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876
Phone (763) 559-3779

Other practice location 1

823 Belknap St Ste 106
Superior, WI 54880-2974
Phone (218) 310-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171004000514 NC Practitioner - Anesthesiology 4587939343
I20180817000420 MN Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 4587939343 Reassigns benefits to 2 organizations
I20250516000631 WI Practitioner - Pain Management 4587939343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolverine Anesthesia LLCGroup PAC ID 2062478431, 3 clinicians
North Shore Anesthesia PAGroup PAC ID 9032016936, 14 clinicians

Practice addresses (Care Compare)

1420 London Rd
Suite 100
Duluth, MN 55805-2437
Phone (218) 728-8548

823 Belknap St
Suite 106
Superior, WI 54880-2974
Phone (218) 310-4418

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016012316MOMDPain Medicine (Anesthesiology) Physician
2017-00765NCMDPain Medicine (Anesthesiology) Physician
84314-20WIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolverine Anesthesia, LLC Anesthesiology CurrentSince May 19, 2006 Accepting new patients
Superior Pain Management SC CurrentSince Mar 11, 2025 Accepting new patients
North Shore Anesthesia P.a Anesthesiology CurrentSince Jul 23, 2018 Accepting new patients

Locations

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

2118 London Rd
Duluth, MN 55812
Phone (218) 481-7812

4316 Rice Lake Rd
Ste 104
Duluth, MN 55811
Phone (218) 514-0514

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

823 Belknap St
Ste 106
Superior, WI 54880
Phone (218) 310-4418

Organizations & group practices 3

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1194165050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474876",
            "telephone_number": "763-559-3779",
            "fax_number": "763-450-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD STE 100",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052437",
            "telephone_number": "218-728-8548",
            "fax_number": "218-728-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Belknap St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548802974",
            "country_code": "US",
            "telephone_number": "218-310-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2017-00765",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "84314-20",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2016012316",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MN",
            "license": "63938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.