Active NPI
Christopher C Davis, PA-C
- Physician Assistant
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3527
- Practice address
- 6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750 - Phone
- (480) 456-9000
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3527 | AZ | Primary |
| Medical Physician Assistant | 363AM0700X | 3527 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 3527 | AZ |
Addresses
Primary practice location
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Mailing address
1409 E 2ND PL
Mesa, AZ 85203-8109
Phone (480) 235-6912
Other practice location 1
1125 E Southern Ave
Suite 200
Mesa, AZ 85204-5045
Phone (480) 545-8119 ext. 8113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186974 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625
1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534
1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534
1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (832) 915-2534
1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620
2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (832) 915-2534
2950 S Alma School Rd
Suite 1
Chandler, AZ 85286-8120
Phone (480) 827-5690
3126 S Higley Rd
Suite 109
Gilbert, AZ 85295-2030
Phone (480) 827-5780
3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790
35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750
37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (832) 915-2534
40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760
4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3527 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Arizona LLC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| East Valley Diagnostic Imaging LLC | Past | Accepting new patients | |
| Palo Verde Hematology Oncology LTD. | Past | Accepting new patients | |
| Banner Urgent Care Services, LLC | Past | Accepting new patients | |
| Banner Imaging Services LLC | Past | Accepting new patients | |
| Banner Imaging Services LLC | Diagnostic Radiology | Past | Accepting new patients |
| Associated Radiologists LTD | Past | Accepting new patients |
Locations
1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688
3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127
1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355
101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127
35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750
10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625
680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777
7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344
Organizations & group practices 14
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.
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1609229764
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
-
- Diagnostic Radiology Physician
- Glendale, AZ
- NPI 1932683257
-
- Urgent Care Clinic/Center
- Casa Grande, AZ
- NPI 1316349855
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Nephrology Physician
- Chandler, AZ
- NPI 1073772588
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1902896236
-
- Urgent Care Clinic/Center
- Payson, AZ
- NPI 1194369074
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1962855031
-
- Radiology Clinic/Center
- Mesa, AZ
- NPI 1780696609
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1710733472
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1659457281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 E 2ND PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852038109",
"telephone_number": "480-235-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6424 E BROADWAY RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852061750",
"telephone_number": "480-456-9000"
}
],
"practiceLocations": [
{
"address_1": "1125 E Southern Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852045045",
"country_code": "US",
"telephone_number": "480-545-8119 x8113",
"fax_number": "480-892-6805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3527",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3527",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "3527",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186974",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.