Organization Active NPI

Paul F. Davis, M.D., P.L.C.

  • Neurological Surgery Physician
  • Traverse City, MI
National Provider Identifier
1598083362
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
PD073182 Issued in MI
Legal business name
PAUL F. DAVIS, M.D., P.L.C.
Practice address
1221 Sixth St
Suite 303
Traverse City, MI 49684-2701
Phone
(231) 935-5961
Fax
(231) 935-5962
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Paul Frances Davis, M.D.
Title
Owner
Phone
(231) 935-5961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X PD073182 MI Primary

Addresses

Primary practice location

1221 Sixth St
Suite 303
Traverse City, MI 49684-2701

Mailing address

1221 Sixth St
Suite 303
Traverse City, MI 49684-2701
Phone (231) 935-5961

Other identifiers 1

IdentifierTypeStateIssuer
4107060MedicaidMI

National Provider Directory

National Provider Directory

Locations

1221 Sixth St
Ste 303
Traverse City, MI 49684
Phone (231) 935-5961

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1598083362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST",
            "address_2": "SUITE 303",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842701",
            "telephone_number": "231-935-5961",
            "fax_number": "231-935-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST",
            "address_2": "SUITE 303",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842701",
            "telephone_number": "231-935-5961",
            "fax_number": "231-935-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F. DAVIS, M.D., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-5961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "PD073182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4107060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.