Active NPI
James E Davis, M.D.
- Ophthalmology Physician
- Baker City, OR
National Provider Identifier
1457391690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD12060
- Practice address
- 3705 Midway Dr
Baker City, OR 97814-1456 - Phone
- (541) 523-6428
- Fax
- (541) 523-4713
- NPI assigned
- Jun 7, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD12060 | OR | Primary |
Addresses
Primary practice location
3705 Midway Dr
Baker City, OR 97814-1456
Mailing address
3705 Midway Dr
Baker City, OR 97814-1456
Phone (541) 523-6428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119172 | Medicaid | OR |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12060 | OR | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1457391690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MIDWAY DR",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141456",
"telephone_number": "541-523-6428",
"fax_number": "541-523-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MIDWAY DR",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141456",
"telephone_number": "541-523-6428",
"fax_number": "541-523-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD12060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119172",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.