Alyssa Davis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA059770 Issued in PA

Practice address

51 N 39TH St # 340
Philadelphia, PA 19104

Phone

(215) 662-9775

NPI assigned

Sep 15, 2017

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

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.

• Gynecology Specialists of Philadelphia LLC

  • Obstetrics Physician
  • Philadelphia, PA
  • NPI 1366502445
  NPD
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)
• On Demand Urgent Care Group, PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811432776
  NPD (past)
• Reconstructive Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1659319002

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1578082046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "address_2": "MEDICAL OFFICE BUILDING 340",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST # 340",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19147",
            "country_code": "US",
            "telephone_number": "215-999-1217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Davis-Moon, CRNP
• Alexis Davis
• Alfreda Davis
• Allison Davis
• Allison Davis
• Amber L. Davis, LPC
• Anita L Davis, BS
• Arlea Davis, APRN
• Blair J Davis, PSYD
• Brandi Davis, M.A.

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.