Organization Active NPI

Shawn M Davies S C

  • Obstetrics & Gynecology Physician
  • Elmhurst, IL
National Provider Identifier
1205124518
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036095338 Issued in IL
Legal business name
SHAWN M DAVIES S C
Practice address
533 W North Ave Ste 101
Elmhurst, IL 60126-2100
Phone
(630) 530-1501
Fax
(630) 530-1908
NPI assigned
Jul 20, 2011
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Ms. Carmen Rodriguez
Title
Business Manager
Phone
(630) 530-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036095338 IL Primary

Addresses

Primary practice location

533 W North Ave Ste 101
Elmhurst, IL 60126-2100

Mailing address

533 W North Ave Ste 101
Elmhurst, IL 60126-2100
Phone (630) 530-1501

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sdavies292618@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Other URL ELMHURST

National Provider Directory

National Provider Directory

Locations

1725 W Harrison St
Ste 738
Chicago, IL 60612
Phone (312) 432-0436

Interoperability endpoints

  • Direct secure messaging: sdavies292618@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1205124518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE STE 101",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262100",
            "telephone_number": "630-530-1501",
            "fax_number": "630-530-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE STE 101",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262100",
            "telephone_number": "630-530-1501",
            "fax_number": "630-530-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M DAVIES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "630-530-1501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036095338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdavies292618@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "533 W North Ave Ste 101",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601262100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "533 W North Ave Ste 101",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601262100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ELMHURST",
            "affiliation": "N",
            "address_1": "533 W North Ave Ste 101",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601262100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.