Active NPI
Joshua Paul Davis
- Certified Registered Nurse Anesthetist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 62075144406
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (801) 357-7850
- NPI assigned
- Jan 16, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6201556-3102 | UT | |
| Registered Nurse | 163W00000X | RN9407699 | FL | |
| Registered Nurse | 163W00000X | 0001277405 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024175977 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 62075144406 | UT | Primary |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
1257 S 400 E
Springville, UT 84663-2421
Phone (435) 313-1678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, UT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9407699 | FL | MD | Registered Nurse |
| 6201556-3102 | UT | MD | Registered Nurse |
| 0001277405 | VA | MD | Registered Nurse |
| 62075144406 | UT | MD | Certified Registered Nurse Anesthetist |
| 0024175977 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Gastroenterology | Current | Accepting new patients | |
| Mountain West Anesthesia LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1124837646
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1417465295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 S 400 E",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632421",
"telephone_number": "435-313-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "801-357-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSHUA",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-16",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "6201556-3102",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9407699",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001277405",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024175977",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "62075144406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.