Thomas E Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

101765 Issued in MO

Practice address

9513 Highway 100
New Haven, MO 63068-1300

Phone

(573) 237-6100

Fax

(573) 437-8664

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: tdavis76858@directc.mercy.net

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1497728562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 HIGHWAY 100",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630681300",
            "telephone_number": "573-237-6100",
            "fax_number": "573-437-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 HIGHWAY 100",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630681300",
            "telephone_number": "573-237-6100",
            "fax_number": "573-437-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "101765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01134571",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206946600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080121830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Boehle DC LLC
• Courtney Lee Baker, PTA
• Better Sleep Missouri LLC
• Mariane Beffa Brueggemann, MS, LPC
• Anna Carey-Tiedtke, CCC-SLP
• Barbara A Eggert, OTR/L
• Francesca Maria Ferrentelli, PH.D., LPC, BCC
• Larry R Ficklin, DDS
• Lindsey Beth Jasper, LCSW
• Shawnda Jones

• All providers in New Haven, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.