Active NPI
Joseph Anton Davis, MD
- Vascular Surgery Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD00043115
- Practice address
- 122 W 7TH Ave
420
Spokane, WA 99204-2349 - Phone
- (509) 626-9440
- NPI assigned
- Apr 8, 2006
- Last updated
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD00043115 | WA | Primary |
Addresses
Primary practice location
122 W 7TH Ave
420
Spokane, WA 99204-2349
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other practice location 1
62 W 7th Ave Ste 420
Spokane, WA 99204-2321
Phone (509) 626-9440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdavis219781@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
605 E Holland Ave
Spokane, WA 99218-1246
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500
980 W Ironwood Dr
Suite 205
Coeur D Alene, ID 83814-2668
Phone (208) 765-2610
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Inland Imaging Associates PS | Vascular Surgery | Past | Accepting new patients |
Locations
980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- jdavis755535@direct.multicare.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Rockwood Clinic
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
ID
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
dba MultiCare Health System - Inland NW Region
- Family Medicine Physician
- Spokane, WA
- NPI 1386112977
-
dba MultiCare Immediate Clinic
- Family Medicine Physician
- Tacoma, WA
- NPI 1396297487
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba PMG Mt Ihi
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1144538505
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Surgical Physician Assistant
- Spokane, WA
- NPI 1770544512
Vascular Surgery
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
dba MultiCare Valley Hospital
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
dba Assured Home Health
- Home Health Agency
- Spokane, WA
- NPI 1821396284
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1659334936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W 7TH AVE",
"address_2": "420",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042349",
"telephone_number": "509-626-9440"
}
],
"practiceLocations": [
{
"address_1": "62 W 7th Ave Ste 420",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042321",
"country_code": "US",
"telephone_number": "509-626-9440",
"fax_number": "509-392-5671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSEPH",
"middle_name": "ANTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD00043115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdavis219781@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "62 W 7th Ave Ste 420",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.