Individual provider Active NPI

Neal Malcolm Davis, DO

  • Family Medicine Physician
  • Carbondale, PA
National Provider Identifier
1437152113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-006841-L Issued in PA
Practice address
254 Brooklyn St
Suite 1
Carbondale, PA 18407-1879
Phone
(570) 282-3347
Fax
(570) 282-2189
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-006841-L PA Primary

Addresses

Primary practice location

254 Brooklyn St
Suite 1
Carbondale, PA 18407-1879

Mailing address

254 Brooklyn St
Suite 1
Carbondale, PA 18407-1879
Phone (570) 282-3347

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000199 PA Practitioner - Family PracticePractitioner - General Practice 3971506510 Receives reassigned benefits from 1 practitioner
Practice locations: Carbondale, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

254 Brooklyn St
Suite 1
Carbondale, PA 18407-1879
Phone (570) 282-3347

Hospital & facility affiliations

  • Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Interim Healthcare Services of NE PA, Inc. Home health agency, Blakely, PA, CCN 397477
  • Home Health Care Professionals Home health agency, Olyphant, PA, CCN 397662
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309

Merit-based Incentive Payment System (MIPS)

Final score
30.57 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
81.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-006841-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437152113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BROOKLYN ST",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071879",
            "telephone_number": "570-282-3347",
            "fax_number": "570-282-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BROOKLYN ST",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071879",
            "telephone_number": "570-282-3347",
            "fax_number": "570-282-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NEAL",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-006841-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.