Active NPI
James E. Davis, M.D., P.C.
- Ophthalmology Physician
- Baker City, OR
National Provider Identifier
1619204823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD12060
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119172 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.