Active NPI
Fred Neal Davis, MD
- Interventional Pain Medicine Physician
- Tucson, AZ
National Provider Identifier
1225099161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 10641
- Practice address
- 6619 N Saint Andrews Dr
Tucson, AZ 85718-2637 - Phone
- (616) 450-6096
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 10641 | AZ | Primary |
Addresses
Primary practice location
6619 N Saint Andrews Dr
Tucson, AZ 85718-2637
Mailing address
6619 N Saint Andrews Dr
Tucson, AZ 85718-2637
Phone (616) 940-0660
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 |
|---|---|---|---|
| 10641 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Michigan Pain Consultants PC | Interventional Pain Medicine | Past | Accepting new patients |
| Michigan Pain Consultants PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDADD
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Grand Rapids, MI
- NPI 1467418574
-
- Interventional Pain Medicine Physician
- Portage, MI
- NPI 1538119391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1225099161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 N SAINT ANDREWS DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857182637",
"telephone_number": "616-940-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6619 N SAINT ANDREWS DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857182637",
"telephone_number": "616-450-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "FRED",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "10641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.