Organization Active NPI

Ken Davis, M.D., P.a.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1356509251
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K5890 Issued in TX
Legal business name
KEN DAVIS, M.D., P.A.
Practice address
16607 Blanco Rd
Suite 303
San Antonio, TX 78232-1913
Phone
(210) 485-1846
Fax
(210) 399-2731
NPI assigned
May 28, 2008
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Ken Davis, M.D., P.A.
Title
Physician
Phone
(210) 485-1846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X K5890 TX Primary

Addresses

Primary practice location

16607 Blanco Rd
Suite 303
San Antonio, TX 78232-1913

Mailing address

16607 Blanco Rd
Suite 303
San Antonio, TX 78232-1913
Phone (210) 485-1846

National Provider Directory

National Provider Directory

Locations

7902 Ewing Halsell Dr
Ste 200
San Antonio, TX 78229
Phone (210) 949-6000

5307 Broadway
Ste 100
San Antonio, TX 78209
Phone (210) 208-2900

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1356509251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "210-485-1846",
            "fax_number": "210-399-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "210-485-1846",
            "fax_number": "210-399-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN DAVIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-485-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K5890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.