Active NPI
Paul F. Davis, M.D., P.L.C.
- Neurological Surgery Physician
- Traverse City, MI
National Provider Identifier
1598083362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- PD073182
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4107060 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.