Active NPI
Mark Hudson Davis, M.D.
- Specialist
- Houston, TX
National Provider Identifier
1326154147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD.12888R
- Practice address
- 10655 Steepletop Dr
Houston, TX 77065-4222 - Phone
- (281) 517-9102
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD.12888R | LA | Primary |
Addresses
Primary practice location
10655 Steepletop Dr
Houston, TX 77065-4222
Mailing address
225 Duperier Ave
New Iberia, LA 70563-2417
Phone (337) 519-3353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1549827 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.12888R | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette OB Hospitalists LLC | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Lafayette, LA
- NPI 1023231941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1326154147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DUPERIER AVE",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632417",
"telephone_number": "337-519-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 STEEPLETOP DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654222",
"telephone_number": "281-517-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARK",
"middle_name": "HUDSON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD.12888R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1549827",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.