Steven E. Davis, MD

Individual provider Active NPI Emergency Medicine Physician · Canton, OH

NPI 1295701340 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1295701340
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
35076836 (OH)
Practice address
2600 Sixth St SW
Canton, OH 44710-1702
Phone
(330) 363-3926
Fax
(330) 363-5380
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060206000454 OH Practitioner - Emergency Medicine 0143234575 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35076836OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomerene Hospital Current
since Sep 1, 2019
Accepting new patients
Aultman Hospital Current
since Jan 1, 2001
Accepting new patients
Aultman Hospital Current
since Jan 1, 2001
Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine Current
since Oct 1, 2019
Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital Current Accepting new patients
Medical Emergency Treatment Corporation Emergency Medicine Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35076836 OH Yes

Addresses

Primary practice location

2600 Sixth St SW
Canton, OH 44710-1702

Mailing address

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-3926

Other identifiers

IdentifierTypeStateIssuer
2186674MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2008.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1295701340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-3926",
            "fax_number": "330-363-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-3926",
            "fax_number": "330-363-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVEN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35076836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2186674",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

All providers in Canton, OH · Emergency Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.