Individual provider Active NPI

Noah Davis, PA-C

  • Physician Assistant
  • Auburn, NY
National Provider Identifier
1265796577
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003943 Issued in VA
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 567-0437
Fax
(315) 253-1702
NPI assigned
Jul 2, 2012
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018934 NY
Physician Assistant 363A00000X 0110003943 VA Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

220 Riverside Dr
Saranac Lake, NY 12983-2377
Phone (206) 920-3262

Other practice location 1

803 Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

Other practice location 2

303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100

Other practice location 3

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Other practice location 4

37 W Garden St Ste 105
Auburn, NY 13021-2663
Phone (315) 252-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000996 NY Practitioner - Physician Assistant 9436307535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018934NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Apr 6, 2020 Accepting new patients
Adirondack Medical Center CurrentSince Sep 21, 2015 Accepting new patients
Auburn Community Hospital Past Accepting new patients

Locations

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1265796577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832377",
            "telephone_number": "206-920-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0437",
            "fax_number": "315-253-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 State Route 86",
            "address_purpose": "LOCATION",
            "city": "Saranac Lake",
            "state": "NY",
            "postal_code": "129835644",
            "country_code": "US",
            "telephone_number": "518-891-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 W Garden St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212663",
            "country_code": "US",
            "telephone_number": "315-252-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018934",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.