Cori Michelle Davis, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA052373 Issued in PA

Practice address

3399 Trindle Rd
Camp Hill, PA 17011-4407

Phone

(717) 761-5530

Fax

(717) 737-7197

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
• Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Orthopedic Surgeons LTD

  • Orthopaedic Surgery Physician
  • Camp Hill, PA
  • NPI 1386620755
  Medicare reassignment Care Compare group
• Orthopedic Surgeons LTD

  • Orthopaedic Surgery Physician
  • Hummelstown, PA
  • NPI 1063097913
  NPD
• Orthopedic Surgeons LTD

  • Orthopaedic Surgery Physician
  • Millersburg, PA
  • NPI 1255916482
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Penn State Health Holy Spirit Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Hill, PA
  • NPI 1659566008

  Hospital

  Care Compare affiliation
• Penn State Health Holy Spirit Medical Center

  • General Acute Care Hospital
  • Camp Hill, PA
  • NPI 1881690212
  Care Compare affiliation
• Upmc Carlisle

  • General Acute Care Hospital
  • Carlisle, PA
  • NPI 1689107328
  Care Compare affiliation
• Upmc Carlisle

  • Ambulatory Surgical Clinic/Center
  • Carlisle, PA
  • NPI 1972038826

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1407849201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W COVENTRY LN",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251277",
            "telephone_number": "717-514-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CORI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "MA052373",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1056473",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chrysti Davenport
• David a Wiegand MD PC
• Kristin Elaine Davidson, RN
• Stephen M Davies, PHARM. D.
• Davis Pulmonary Associates PC
• Eden J Davis, RN
• Jane K Davis, D.D.S.
• Julie Ann Davis, BSN, RN, CPN
• Kira Davis, LPN
• Natasha Davis

• Surgical Physician Assistant in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.