Mark Phillip Davis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101027333 Issued in VA

Practice address

5501 Backlick Rd
Suite 105
Springfield, VA 22151-3933

Phone

(703) 642-2273

Fax

(703) 564-6544

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336247261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-642-2273",
            "fax_number": "703-564-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101027333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Wood MD Frcpc,PC
• Michael Jeffrey Davidson, O.D.
• Anna Davis, OTR/L
• Corbin Davis
• Donna Lee Davis, LCSW
• Richard Davis
• Shana Davis
• Rebecca Jane Davison, MD
• Daylight LLC
• Eric De Blaey, AU.D. CCC-A

• Emergency Medicine Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.