Kaye E. Davis, MD, SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KAYE E. DAVIS, MD, SC

Practice address

19110 Darvin Drive
Mokena, IL 60446

Phone

(708) 478-8507

Fax

(708) 478-8507

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Kaye E Davis, MDNPI 1720146467

Title

President

Phone

(312) 939-4896

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Kaye E Davis, MD

  • Anesthesiology Physician
  • Fairfax, VA
  • NPI 1720146467
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1518025014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E 52ND ST",
            "address_2": "# 396",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154122",
            "telephone_number": "312-939-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DRIVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "708-478-8507",
            "fax_number": "708-478-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYE E. DAVIS, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-939-4896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04932277",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanda Therapy Inc
• Jack Patrick Kane Jr., LCSW
• Ceres K Kangou, APN-CNP
• Bridget Blaney Kaplan, APN
• Cecilia C Kasem, LCPC
• Les Kazmierczak
• Kcmso, LLC (Kane County IPA)
• Jessica Keener, M.A., BCBA
• Daniel J Kemp, MA, LCPC
• Erin Kenny, APRN, FNP-C, ENP-C

• Anesthesiology Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.