Active NPI
Noah Davis, PA-C
- Physician Assistant
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003943
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 64.83
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 018934 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Adirondack Medical Center | Current | 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.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Surgery Physician
- Saranac Lake, NY
- NPI 1871359000
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1225659964
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.