Individual provider Active NPI

Frank S. Davis, M.D.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1437156205
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36401 Issued in AZ
Practice address
5861 N Oracle Rd
Tucson, AZ 85704-3813
Phone
(520) 293-6686
Fax
(520) 887-1736
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36401 AZ Primary

Addresses

Primary practice location

5861 N Oracle Rd
Tucson, AZ 85704-3813

Mailing address

5861 N Oracle Rd
Tucson, AZ 85704-3813
Phone (520) 293-6686

Other identifiers 2

IdentifierTypeStateIssuer
256834900MedicaidFL
164587MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210218001872 AZ Practitioner - Pediatric MedicinePractitioner - Family Practice 7810302197 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care Family Medicine CurrentSince Jan 18, 2021 Accepting new patients
Canyonlands Community Health Care CurrentSince Jan 18, 2021 Accepting new patients
Pediatrics GPS, Inc Pediatrics Past Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Al Shaafi Medical PC Pediatrics Past Accepting new patients

Locations

10A Ward Canyon Rd
Clifton, AZ 85533
Phone (928) 865-2500

2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

Interoperability endpoints

  • Direct secure messaging: frank.davis.p1@direct.canyonlands.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1437156205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "FRANK",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "36401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256834900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164587",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.