Samuel Wayne Davis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52933 Issued in CO

Practice address

1010 A St
Greeley, CO 80631-2021

Phone

(970) 313-0400

Fax

(970) 313-0404

NPI assigned

Apr 24, 2012

Last updated

Jul 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Florida College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Community HealthGroup PAC ID 0648164780, shared by 7 NPIs, 51 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.davis.1@27043.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Colorado Family Medicine

  • Primary Care Clinic/Center
  • Greeley, CO
  • NPI 1083642680
  Medicare reassignment NPD
• Sunrise Community Health

  dba Loveland Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1902005382

  Family Medicine

  Medicare reassignment NPD
• Sunrise Community Health

  dba Sunrise North Range

  • Federally Qualified Health Center (FQHC)
  • Greeley, CO
  • NPI 1295041598
  NPD
• Sunrise Community Health

  dba North Loveland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1700690252
  NPD
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1720004450
  NPD (past)
• Sunrise Community Health

  dba Monfort Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Evans, CO
  • NPI 1295732048
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1336407758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 A ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312021",
            "telephone_number": "970-313-0400",
            "fax_number": "970-313-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMUEL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "52933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Luker DDS, LLC (Luker Dental)
• Alexandra Davin, MSW
• Erica J Davis
• Lawrence Gustavo Davis, MD
• Sam Davis
• Jordan Day
• Kent Richins Day, DDS
• Vincenz Lim De Castro, D.O.
• Nancy De la Cruz Pitones
• Lizeth Verenice De la Cruz

• Family Medicine Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.