Davis, Wright, Berdy & Suffian PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

DAVIS, WRIGHT, BERDY & SUFFIAN PC

Practice address

1011 Bowles Ave
Suite G10
Fenton, MO 63026-2395

Phone

(314) 569-1881

Fax

(314) 569-3277

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ray S Davis, M.D.

Title

President

Phone

(314) 569-1881

Specialties & licenses 1

Addresses

Other names 1

• ALLERGY CONSULTANTS Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Davis, Wright, Berdy & Suffian PC

  • Allergy & Immunology Physician
  • Washington, MO
  • NPI 1962687855

  O20041220000058

  Same enrollment
• Davis, Wright, Berdy & Suffian PC

  • Allergy & Immunology Physician
  • O Fallon, MO
  • NPI 1982889861

  O20041220000058

  Same enrollment
• Davis, Wright, Berdy, & Suffian PC

  • Allergy & Immunology Physician
  • Saint Louis, MO
  • NPI 1639110935

  O20041220000058

  Same enrollment

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1669657540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 129",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-1881",
            "fax_number": "314-569-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE G10",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262395",
            "telephone_number": "314-569-1881",
            "fax_number": "314-569-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS, WRIGHT, BERDY & SUFFIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-569-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Michelle Daller, FNP-BC
• Vandana Dalton, M.D.
• Daniel F. Guerra DMD, LLC
• Brent Ryan Davidson, M.D.
• Allison K Davis, M.D.
• Dawn McFarland PSYD LLC
• Day Optometry, Inc.
• Deco Dental
• Adam Decota, D.D.S.
• Jennifer Decota, D.D.S.

• Allergy & Immunology Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Allergy & Immunology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.