Steven S. Davis, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Sturgeon Bay, WI
NPI 1306855705 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306855705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 46270 (WI)
- Practice address
- 323 S 18TH Ave
Sturgeon Bay, WI 54235-1401 - Phone
- (920) 746-0510
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46270 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Shore Hospital Foundation, Inc | Orthopaedic Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 46270 | WI | Yes |
Addresses
Primary practice location
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-0510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34482200 | Medicaid | WI |
Other providers in Sturgeon Bay, WI
- Lauren Daoust
- Lori B. Dart
- Sherry Lee Davidson
- Carol De Vries Davis
- Scott Davis
- Connor Allen Daws
- DC Medical Transport
- Jennifer Marie Dean
- Annelise Deboer
- Bonnie A Degrave
All providers in Sturgeon Bay, WI · Orthopaedic Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.