John Daniel Davis, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35 - 038969 Issued in OH

Practice address

4249 New Market Banta Rd
Lewisburg, OH 45338-7745

Phone

(937) 962-9347

Fax

(937) 962-9027

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558456780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 NEW MARKET BANTA RD",
            "city": "LEWISBURG",
            "state": "OH",
            "postal_code": "453387745",
            "telephone_number": "937-962-9347",
            "fax_number": "937-962-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 NEW MARKET BANTA RD",
            "city": "LEWISBURG",
            "state": "OH",
            "postal_code": "453387745",
            "telephone_number": "937-962-9347",
            "fax_number": "937-962-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35 - 038969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Marie Burton
• Steven Clark Bush, Ms.Ed, NCC, PCC-S, LLC, LPCC-S, LICDC-CS
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• Morgan Gene Croucher, LPN
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• Maritza Rachel Freshour

• Emergency Medicine Physician in Lewisburg, OH
• Providers in Lewisburg, OH by specialty
• Emergency Medicine Physician in Ohio

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