Active NPI
Pamela F Davis, MD,PC
- Orthopaedic Foot and Ankle Surgery Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 29871
- Legal business name
- PAMELA F DAVIS, MD,PC
- Practice address
- 4622 Progress Drive
Suite C
Davenport, IA 52807 - Phone
- (563) 355-2210
- NPI assigned
- Sep 26, 2006
- Last updated
- Dec 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela F Davis, M.D.
- Title
- President
- Phone
- (563) 355-2210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 29871 | IA | Primary |
Addresses
Primary practice location
4622 Progress Drive
Suite C
Davenport, IA 52807
Mailing address
4622 Progress Drive
Suite C
Davenport, IA 52807
Phone (563) 355-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1957696 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
4622 Progress Dr
Ste C
Davenport, IA 52807
Phone (563) 355-2210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Davenport, IA
- NPI 1245207802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1316048101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 PROGRESS DRIVE",
"address_2": "SUITE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 PROGRESS DRIVE",
"address_2": "SUITE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-355-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA F DAVIS, MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "563-355-2210",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "IA",
"license": "29871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1957696",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.