Individual provider Active NPI

John Davis, MD

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1649690306
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
61063 Issued in AZ
Practice address
3645 S Rome St
Gilbert, AZ 85297-7336
Phone
(480) 907-7551
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 65198 MN
Surgery Physician 208600000X 61063 AZ Primary

Addresses

Primary practice location

3645 S Rome St
Gilbert, AZ 85297-7336

Mailing address

3645 S Rome St Ste 116
Gilbert, AZ 85297-7337
Phone (708) 603-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3645 S Rome St
Suite 116
Gilbert, AZ 85297-7337

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy46
Melanoma (skin cancer) excision24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61063AZMDSurgery Physician
65198MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Surgery CurrentSince Oct 5, 2021 Accepting new patients
Arizona Center for Hematology and Oncology PLC Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Sep 15, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 5, 2021 Accepting new patients
Arizona Center for Hematology and Oncology, PLC Surgery CurrentSince Sep 15, 2020 Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients

Locations

655 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 245-4425

485 S Dobson Rd
Ste 115
Chandler, AZ 85224
Phone (480) 245-4425

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

8415 N Pima Rd
Ste 280
Scottsdale, AZ 85258
Phone (480) 245-4425

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1649690306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 S ROME ST STE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977337",
            "telephone_number": "708-603-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977336",
            "telephone_number": "480-907-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "65198",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "61063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.