Active NPI
Jeffrey Scott Davies, M.D.
- Internal Medicine Physician
- Windsor, CT
National Provider Identifier
1396874723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 029861
- Practice address
- 340 Broad St
Total Medical Care
Windsor, CT 06095-3030 - Phone
- (860) 688-8888
- Fax
- (860) 688-6381
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 029861 | CT | Primary |
Addresses
Primary practice location
340 Broad St
Total Medical Care
Windsor, CT 06095-3030
Mailing address
57 Simsbury LNDG
Simsbury, CT 06070-1437
Phone (860) 651-5971
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12105294 | Other | CT | MULTIPLAN |
| 320105 | Other | CT | WELLCARE |
| PVN782046 | Other | CT | AETNA HEALTHCARE |
| 2760262 | Other | CT | CIGNA |
| 461110 | Other | CT | CONNECTICARE |
| 2V5742 | Other | CT | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029861 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1396874723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SIMSBURY LNDG",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701437",
"telephone_number": "860-651-5971",
"fax_number": "860-651-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BROAD ST",
"address_2": "TOTAL MEDICAL CARE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953030",
"telephone_number": "860-688-8888",
"fax_number": "860-688-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "029861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12105294",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "320105",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "PVN782046",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2760262",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "461110",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V5742",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.