Individual provider Active NPI

Debra Jean Davis, M.D.

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1538246152
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036142755 Issued in IL
Practice address
200 Continental Dr Ste 401
Newark, DE 19713-4337
Phone
(509) 570-3701
NPI assigned
Nov 1, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00045314 WA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 8437 ND
Obstetrics & Gynecology Physician 207V00000X 10260 SD
Complex Family Planning Physician 207VC0300X 8437 ND
Obstetrics & Gynecology Physician 207V00000X 036142755 IL Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 67111-20 WI
Obstetrics & Gynecology Physician 207V00000X 8437 ND
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 036142755 IL
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 8437 ND
Obstetrics & Gynecology Physician 207V00000X 67111-20 WI

Addresses

Primary practice location

200 Continental Dr Ste 401
Newark, DE 19713-4337

Mailing address

200 Continental Dr Ste 401
Newark, DE 19713-4337
Phone (509) 570-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051220000138 ND Practitioner - Obstetrics/Gynecology 6901839927 Reassigns benefits to 3 organizations
I20260319001091 SD Practitioner - Obstetrics/Gynecology 6901839927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 5074
Sioux Falls, SD 57117

National Provider Directory

National Provider Directory
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 Medicine

State licenses

LicenseStateTypeSpecialty
8437NDMDObstetrics & Gynecology Physician
10260SDMDObstetrics & Gynecology Physician
MD00045314WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Mercy Home Care CurrentSince Oct 1, 2023 Accepting new patients
Sanford Medical Center Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Mercy Medical Center Current Accepting new patients
Sanford Medical Center CurrentSince Feb 2, 2026 Accepting new patients
Northwest Health Summit, PS Family Medicine PastSince Dec 1, 2005 Accepting new patients

Locations

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

3369 Solutions Ctr
Chicago, IL 60677

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Interoperability endpoints

  • Direct secure messaging: debradavis@normd.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1538246152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CONTINENTAL DR STE 401",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134337",
            "telephone_number": "509-570-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONTINENTAL DR STE 401",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134337",
            "telephone_number": "509-570-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00045314",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "ND",
            "license": "8437",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "10260",
            "primary": false
        },
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "ND",
            "license": "8437",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036142755",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WI",
            "license": "67111-20",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ND",
            "license": "8437",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036142755",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "ND",
            "license": "8437",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "67111-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.