Organization Active NPI

James E. Davis, M.D., P.C.

  • Ophthalmology Physician
  • Baker City, OR
National Provider Identifier
1619204823
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD12060 Issued in OR
Legal business name
JAMES E. DAVIS, M.D., P.C.
Practice address
3705 Midway Dr
Baker City, OR 97814-1456
Phone
(541) 523-6428
Fax
(541) 523-4713
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Christie Mann
Title
Office Manager
Phone
(541) 523-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD12060 OR Primary

Addresses

Primary practice location

3705 Midway Dr
Baker City, OR 97814-1456

Mailing address

3705 Midway Dr
Baker City, OR 97814-1456
Phone (541) 523-6428

Other identifiers 1

IdentifierTypeStateIssuer
119172MedicaidOR

National Provider Directory

National Provider Directory

Locations

3705 Midway Dr
Baker City, OR 97814
Phone (541) 523-4497

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1619204823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-6428",
            "fax_number": "541-523-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-6428",
            "fax_number": "541-523-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. DAVIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-523-6428"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD12060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119172",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.