Cody W. Davis, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2002002010 Issued in MO

Practice address

RR 1 Box 40D
Ellsinore, MO 63937-9705

Phone

(573) 593-4157

NPI assigned

Oct 10, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD (past)
• The Sutherland Clinic LLC

  • Family Medicine Physician
  • Paris, MO
  • NPI 1992800635
  NPD (past)
• Decatur County General Hospital

  • General Acute Care Hospital
  • Parsons, TN
  • NPI 1104804566
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1497743843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 40D",
            "city": "ELLSINORE",
            "state": "MO",
            "postal_code": "639379705",
            "telephone_number": "573-593-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 40D",
            "city": "ELLSINORE",
            "state": "MO",
            "postal_code": "639379705",
            "telephone_number": "573-593-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CODY",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002002010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana N Champion Salamone
• Ariel Cochran, RN
• Jessica Deann Cornelison, FNP-BC
• Country Care Family Clinic, LLC
• Denise Lynn Crane, M.A., CCC-SLP
• East Carter County Volunteer Ambulance
• Endeavor Home Care LLP
• Heartland Community Skills Center
• Cherish Maxwell
• Brenda Ann McGehee, FNP-C

• Emergency Medicine Physician in Ellsinore, MO
• Providers in Ellsinore, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.