Evan Joel Davies, D.O.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

02440 Issued in KY

Practice address

4123 Olympic Blvd Ste 150
Erlanger, KY 41018-3508

Phone

(859) 301-2999

NPI assigned

Jan 17, 2006

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Radiology Associates of Northern Kentucky, PLLC

  • Diagnostic Radiology Physician
  • Edgewood, KY
  • NPI 1073595179
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1265412282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 OLYMPIC BLVD STE 150",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183508",
            "telephone_number": "859-301-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 OLYMPIC BLVD STE 150",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183508",
            "telephone_number": "859-301-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10095 Investment Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424798",
            "country_code": "US",
            "telephone_number": "859-301-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "EVAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-01-24",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KY",
            "license": "02440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Therapy Solutions PLLC
• Critical Stress & Wellness Center, LLC
• Margaret W Crouch
• Maria Da Silva, CD(DONA)
• Matthew Thomas Davey, APRN
• Sharon L Davis, LPCC
• Peyton Dean, MS CCC-CLP
• Jean A Deters, PSY.D.
• Doctors Urgent Care Offices Medical Group Inc (Doctors Urgent Care Office)
• Theodore Dorow

• Preventive Medicine/Occupational Environmental Medicine Physician in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.