Individual provider Active NPI

Trevor A Davy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grove City, OH
National Provider Identifier
1306830294
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003396 Issued in OH
Practice address
6024 Hoover Rd
Suite F
Grove City, OH 43123-8133
Phone
(617) 539-4934
Fax
(614) 539-4609
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003396 OH Primary

Addresses

Primary practice location

6024 Hoover Rd
Suite F
Grove City, OH 43123-8133

Mailing address

6024 Hoover Rd
Suite F
Grove City, OH 43123-8133
Phone (614) 539-4964

Other identifiers 1

IdentifierTypeStateIssuer
2546865MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000082 OH Practitioner - Podiatry 6608823596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Foot and Ankle LLCGroup PAC ID 6204097751, 2 clinicians

Practice addresses (Care Compare)

6024 Hoover Rd
Grove City, OH 43123-8133

6024 Hoover Rd F
Grove City, OH 43123-8133
Phone (614) 539-4964

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue347
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003396OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Feb 1, 2012 Accepting new patients

Locations

6024 Hoover Rd
Grove City, OH 43123
Phone (614) 599-1826

6024 Hoover Rd
Ste F
Grove City, OH 43123
Phone (614) 539-4964

18 Grace Dr
Powell, OH 43065
Phone (614) 888-3377

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1306830294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 HOOVER RD",
            "address_2": "SUITE F",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238133",
            "telephone_number": "614-539-4964",
            "fax_number": "614-539-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 HOOVER RD",
            "address_2": "SUITE F",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238133",
            "telephone_number": "617-539-4934",
            "fax_number": "614-539-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVY",
        "first_name": "TREVOR",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2546865",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.