NPIMap

Organization Active NPI

Robert W Davis MD PC

  • Specialist
  • Gretna, LA
National Provider Identifier
1376741843
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8654 Issued in LA
Legal business name
ROBERT W DAVIS MD PC
Practice address
229 Bellemeade Blvd
Ste 404
Gretna, LA 70056-7153
Phone
(504) 398-4300
Fax
(504) 392-6803
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Robert W Davis, M.D.NPI 1114937638
Title
Owner Medical Doctor
Phone
(504) 398-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 805 LA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1638 LA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 8654 LA Primary

Addresses

Primary practice location

229 Bellemeade Blvd
Ste 404
Gretna, LA 70056-7153

Mailing address

229 Bellemeade Blvd
Ste 404
Gretna, LA 70056-7153
Phone (504) 398-4300

Other identifiers 1

IdentifierTypeStateIssuer
1940003MedicaidLA

Other names 1

  • Davis Psychiatric Clinic Other name

National Provider Directory

National Provider Directory

Locations

229 Bellemeade Blvd
Ste 404
Gretna, LA 70056
Phone (504) 398-4300

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1376741843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BELLEMEADE BLVD",
            "address_2": "STE 404",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567153",
            "telephone_number": "504-398-4300",
            "fax_number": "504-392-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BELLEMEADE BLVD",
            "address_2": "STE 404",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567153",
            "telephone_number": "504-398-4300",
            "fax_number": "504-392-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W DAVIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER MEDICAL DOCTOR",
        "authorized_official_telephone_number": "504-398-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "805",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1638",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "8654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940003",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Psychiatric Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.