Kathryn Noel Davis, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10086 Issued in TX

Practice address

7300 Eldorado Pkwy
Suite 260
McKinney, TX 75070-7891

Phone

(972) 747-0440

Fax

(972) 747-0441

NPI assigned

Sep 23, 2015

Last updated

Mar 30, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Surgical Specialists of North Texas, PAGroup PAC ID 4183874944, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathyrn.davis.1@5851.direct.athenahealth.com

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

• Surgical Specialists of North Texas, PA

  • Surgery Physician
  • McKinney, TX
  • NPI 1427309145
  Medicare reassignment Care Compare group
• Dallas Center for Sleep Disorders, P.a.

  dba Dallas Sleep

  • Sleep Disorder Diagnostic Clinic/Center
  • Plano, TX
  • NPI 1194744276
  NPD (past)
• Michael Sutker, M.D., P.a.

  • Surgery Physician
  • Dallas, TX
  • NPI 1861804973
  NPD (past)

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

• Irving Coppell Surgical Hospital

  • Special Hospital
  • Irving, TX
  • NPI 1992772008
  Care Compare affiliation
• Irving-Coppell Surgical Hospital LLP

  dba Baylor Scott & White Surgical Hospital - Las Colinas

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1669569984
  Care Compare affiliation

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1447629290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PHEASANT RUN",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542126",
            "telephone_number": "972-824-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY",
            "address_2": "SUITE 260",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "972-747-0440",
            "fax_number": "972-747-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHRYN",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Davis, RBT
• Jade Davis, LMT
• Joann Gayle Davis, MS, LPC, NCC
• Kara Davis, M.A, BCBA
• Kathleen Avery Davis, LCSW
• Marla Davis
• Marqushia Dachelle Davis
• Matt Davis, DC
• Sandra Davis, PSYD
• Stephanie Ann Davis, FNP

• Surgical Physician Assistant in McKinney, TX
• Providers in McKinney, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.