Active NPI
Pamela F Davis, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Davenport, IA
National Provider Identifier
1245207802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 29871
- Practice address
- 4622 Progress Drive
Ste C
Davenport, IA 52807 - Phone
- (563) 355-2210
- Fax
- (563) 355-0199
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 29871 | IA | Primary |
Addresses
Primary practice location
4622 Progress Drive
Ste C
Davenport, IA 52807
Mailing address
4622 Progress Drive
Ste C
Davenport, IA 52807
Phone (563) 355-2210
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 |
|---|---|---|---|
| 29871 | IA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Past | Accepting new patients |
Interoperability endpoints
- pamela.davis.p2@direct.urologyqc.nextgenshare.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1245207802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 PROGRESS DRIVE",
"address_2": "STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-2210",
"fax_number": "563-355-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 PROGRESS DRIVE",
"address_2": "STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-2210",
"fax_number": "563-355-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PAMELA",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "IA",
"license": "29871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.