Mark B Davis, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4810 Issued in AZ

Practice address

3237 N Windsong Drive
Prescott Valley, AZ 86314

Phone

(928) 772-5320

Fax

(928) 772-5319

NPI assigned

Jul 18, 2006

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Davis OrthopaedicsGroup PAC ID 0749506269, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Society - Legacy Home Care Home health agency, Prescott, AZ, CCN 037247
• Centerwell Home Health Home health agency, Prescott, AZ, CCN 037139
• Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
• Mountain Valley Home for Health Home health agency, Prescott Valley, AZ, CCN 037456
• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGGJCA

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.

• Davis Orthopaedics

  • Orthopaedic Surgery Physician
  • Prescott Valley, AZ
  • NPI 1932505674
  Medicare reassignment Care Compare group NPD Authorized official
• Davis Orthopaedics

  dba Windsong Physical Therapy

  • Physical Therapist
  • Prescott Valley, AZ
  • NPI 1902471097
  NPD (past) Authorized official
• Davis Orthopaedics, LLC

  dba Windsong Primary Care

  • General Practice Physician
  • Prescott Valley, AZ
  • NPI 1710555339
  NPD (past) Authorized official

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

• Angels Touch, Inc

  dba Angels Care Home Health of Arizona

  • Home Health Agency
  • Cottonwood, AZ
  • NPI 1821083882
  Care Compare affiliation
• Centerwell Certified Healthcare Corp

  dba CenterWell Home Health

  • Home Health Agency
  • Prescott, AZ
  • NPI 1437158821
  Care Compare affiliation
• Mountain Valley Regional Rehabilitation Hospital Inc

  dba Mountain Valley Home for Health

  • Home Health Agency
  • Prescott Valley, AZ
  • NPI 1174904130
  Care Compare affiliation
• Orthopedic and Surgical Specialty Company, LLC

  dba Arizona Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530
  Care Compare affiliation
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1508885047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 N WINDSONG DRIVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-772-5320",
            "fax_number": "928-772-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 N WINDSONG DRIVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-772-5320",
            "fax_number": "928-772-5319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "928-910-7010",
            "fax_number": "928-910-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4810",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS10024",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "4810",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "4810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27845480-0",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00459927",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davis Orthopaedics (Windsong Physical Therapy)
• Davis Orthopaedics
• Davis Orthopaedics, LLC (Windsong Primary Care)
• Deborah Requa Davis, ARNP
• Kathleen Mechelle Davis, LMT
• George E. Dean, M. D.
• Linda Degner, LIMHP, LPC
• Darryl A Dehart, RPH
• Jeremy M Dellosa, LMT
• Ann M Delorme, LPC

• Orthopaedic Surgery Physician in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.