NPIMap

Organization Active NPI

Jay Tomes Davis, MD, Obstetrics & Gynecology PSC

Doing business as Jay T. Davis, M.D., PSC

  • Obstetrics & Gynecology Physician
  • Bowling Green, KY
National Provider Identifier
1255498648
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25834 Issued in KY
Legal business name
JAY TOMES DAVIS, MD, OBSTETRICS & GYNECOLOGY PSC
Doing business as
Jay T. Davis, M.D., PSC
Practice address
546 Park Street
Suite 200
Bowling Green, KY 42101-1780
Phone
(270) 843-5133
Fax
(270) 843-5028
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Jay T. Davis, MD
Title
President
Phone
(270) 843-5133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25834 KY Primary

Addresses

Primary practice location

546 Park Street
Suite 200
Bowling Green, KY 42101-1780

Mailing address

546 Park Street
Suite 200
Bowling Green, KY 42101-1780
Phone (270) 843-5133

Other identifiers 1

IdentifierTypeStateIssuer
000000062935OtherKYANTHEM BLUE SHIELD

Other names 1

  • Jay T. Davis, M.D., PSC Doing business as

National Provider Directory

National Provider Directory

Locations

546 Park St
Ste 200
Bowling Green, KY 42101
Phone (270) 745-9399

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1255498648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 PARK STREET",
            "address_2": "SUITE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011780",
            "telephone_number": "270-843-5133",
            "fax_number": "270-843-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 PARK STREET",
            "address_2": "SUITE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011780",
            "telephone_number": "270-843-5133",
            "fax_number": "270-843-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY TOMES DAVIS, MD, OBSTETRICS & GYNECOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-843-5133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "25834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000062935",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay T. Davis, M.D., PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.