Organization Active NPI

Stephen O. Davis, M.D., Inc

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1487854188
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G300220 Issued in CA
Legal business name
STEPHEN O. DAVIS, M.D., INC
Practice address
6081 N 1St St Ste 102
Fresno, CA 93710-5466
Phone
(559) 431-5653
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Stephen Owen Davis, M.D.NPI 1801850102
Title
Chief Executive Offices
Phone
(559) 431-5653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G300220 CA Primary

Addresses

Primary practice location

6081 N 1St St Ste 102
Fresno, CA 93710-5466

Mailing address

6081 N 1St St Ste 102
Fresno, CA 93710-5466
Phone (559) 431-5653

National Provider Directory

National Provider Directory

Locations

6081 N 1st St
Ste 102
Fresno, CA 93710
Phone (559) 301-7582

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1487854188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105466",
            "telephone_number": "559-431-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105466",
            "telephone_number": "559-431-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN O. DAVIS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICES",
        "authorized_official_telephone_number": "559-431-5653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G300220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.