Active NPI
Merritt G. Davis, Jr, D.O.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- San Antonio, TX
National Provider Identifier
1407963499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- J4766
- Practice address
- 4502 Medical Dr
Hyperbarics Department
San Antonio, TX 78229-4402 - Phone
- (210) 358-4320
- Fax
- (210) 358-4806
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | J4766 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
Hyperbarics Department
San Antonio, TX 78229-4402
Mailing address
7703 Floyd Curl Drive, MC 7798
Uthscsa, Dept. of Rehab Medicine
San Antonio, TX 78229
Phone (210) 358-4328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116151505 | Medicaid | TX | |
| 8A4721 | Other | TX | BLUE CROSS BLUE SHIELD |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4766 | TX | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1407963499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DRIVE, MC 7798",
"address_2": "UTHSCSA, DEPT. OF REHAB MEDICINE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-358-4328",
"fax_number": "210-358-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"address_2": "HYPERBARICS DEPARTMENT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4320",
"fax_number": "210-358-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS, JR",
"first_name": "MERRITT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "J4766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116151505",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8A4721",
"state": "TX"
}
],
"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 Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.