Bryan T. Davis, P.A.
Individual provider Active NPI Physician Assistant · Sheffield Village, OH
NPI 1609846591 · NPPES record last updated Nov 3, 2015
Key facts
- NPI
- 1609846591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50-00-1266 (OH)
- Practice address
- 5319 Hoag Dr
Suite 210 a
Sheffield Village, OH 44035-1494 - Phone
- (440) 723-5685
- Fax
- (440) 723-5686
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740
27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700
303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051207000244 | OH | Practitioner - Physician Assistant | 5496775371 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Professional Company, LLC | Current |
Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Emergency Professionals of Ohio, Inc. | Physician Assistant | Past | Accepting new patients |
| Nes Ohio Inc | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-00-1266 | OH | Yes |
Addresses
Primary practice location
5319 Hoag Dr
Suite 210 a
Sheffield Village, OH 44035-1494
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000383079 | Other | OH | BLUECROSS BLUESHIELD |
Other providers in Sheffield Village, OH
- Jasmine Crump
- David Cuglewski
- Blake A Currens
- Anita Dacanay
- Kathy A Dalzell
- Camille Rhnee Davis
- Ernest Degidio
- Caryn L Delisio
- Melanie Ann Devito
- Gregory F. Diederich
All providers in Sheffield Village, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.