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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000454 | OH | Practitioner - Emergency Medicine | 0143234575 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35076836 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomerene Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Emergency Professional Services, Inc. | Emergency Medicine | Current |
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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2186674 | Medicaid | OH |
NPI Registry JSON
{
"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
- Michael Quaid Davis
- Molly Rose Kathleen Davis
- Patricia Anne Davis
- Samantha Lauren Davis
- Siobhan N. Davis
- Tara L Davis
- Dierdre J Davison
- Jazmone Davison
- Kerrie Dawkins
- Dana L Dawson
All providers in Canton, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.