Active NPI
Katrina Davis, MD
- Obstetrics Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- ME119712
- Practice address
- 2439 Bee Ridge Rd
Sarasota, FL 34239-6304 - Phone
- (941) 343-0609
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | ME119712 | FL | |
| Obstetrics Physician | 207VX0000X | ME119712 | FL | Primary |
Addresses
Primary practice location
2439 Bee Ridge Rd
Sarasota, FL 34239-6304
Mailing address
101 Eyster Blvd
Rockledge, FL 32955-3608
Phone (321) 806-3929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3850497 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sarasota | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME119712 | FL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Sarasota OB GYN Associates, PA | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Obhg Mississippi, P.C. | Current | Accepting new patients | |
| Manasota OBGYN Associates LLC | Current | Accepting new patients |
Locations
9501 Baptist Health Dr
Ste 800
Little Rock, AR 72205
Phone (501) 223-2080
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
3400 Tamiami Trl
Ste 102
Pt Charlotte, FL 33952
Phone (941) 625-5855
2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
Interoperability endpoints
- kdavis3847@direct.baptist-healthar.org
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Sarasota, FL
- NPI 1700391414
-
- Maternal & Fetal Medicine Physician
- Little Rock, AR
- NPI 1760752612
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Obstetrics & Gynecology Physician
- Sarasota, FL
- NPI 1538703772
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1306936893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EYSTER BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553608",
"telephone_number": "321-806-3929",
"fax_number": "877-362-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396304",
"telephone_number": "941-343-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATRINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "FL",
"license": "ME119712",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "FL",
"license": "ME119712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3850497",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sarasota",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Sarasota",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Sarasota",
"address_1": "2439 Bee Ridge Rd",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342396304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.