Keith L Davis MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

052285 Issued in OH

Legal business name

KEITH L DAVIS MD

Practice address

2420 Lake Ave
Ashtabula, OH 44004-2420

Phone

(440) 994-7582

Fax

(440) 994-7539

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Linda McGirr

Title

Owner of Jefferson Billing, Inc

Phone

(800) 673-5312

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith L Davis, MD

  • Family Medicine Physician
  • Mansfield, OH
  • NPI 1952488215
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1326379975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3111",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853111",
            "telephone_number": "800-673-5312",
            "fax_number": "888-817-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042420",
            "telephone_number": "440-994-7582",
            "fax_number": "440-994-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH L DAVIS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MCGIRR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER OF JEFFERSON BILLING, INC",
        "authorized_official_telephone_number": "800-673-5312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "052285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurleen Kaur Kang, PHARMD
• Jessie Kankula
• Carrie Kaydo, LPN
• Daniel Brian Keaton, M.D.
• Karen Lynn Keener, LMT, AT
• Kristen Marie Kelley, LPN
• Kellogg Movement Performance Thearpy LLC
• Morghan Kelly
• Tauri Lynn Kelly, LPN
• Margaret Mary Kelner, COTA/L

• Family Medicine Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.