Active NPI
Ross P. Davis MD PC
- Surgery Physician
- Dothan, AL
National Provider Identifier
1609194141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29606
- Legal business name
- ROSS P. DAVIS MD PC
- Practice address
- 112 Haven Dr
Suite 1
Dothan, AL 36301-2907 - Phone
- (334) 446-0688
- NPI assigned
- May 7, 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
- Mr. Ross P Davis, MD
- Title
- Physician
- Phone
- (334) 446-0688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29606 | AL | Primary |
| Vascular Surgery Physician | 2086S0129X | 29606 | AL |
Addresses
Primary practice location
112 Haven Dr
Suite 1
Dothan, AL 36301-2907
Mailing address
112 Haven Dr
Suite 1
Dothan, AL 36301-2907
Phone (334) 446-0688
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381190400000",
"number": "1609194141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HAVEN DR",
"address_2": "SUITE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012907",
"telephone_number": "334-446-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HAVEN DR",
"address_2": "SUITE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012907",
"telephone_number": "334-446-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS P. DAVIS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-07",
"last_updated": "2013-10-08",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "334-446-0688",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AL",
"license": "29606",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "29606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.