Active NPI
Ernest Edmund Davis, M.D.
- Specialist
- Washington, DC
National Provider Identifier
1679677066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R9N10
- Practice address
- United States Department of State, M/Med/Qi
2401 E. Street, NW, Sa-1
Washington, DC 20522-0102 - Phone
- (202) 662-1682
- Fax
- (202) 663-3673
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | R9N10 | MO | Primary |
Addresses
Primary practice location
United States Department of State, M/Med/Qi
2401 E. Street, NW, Sa-1
Washington, DC 20522-0102
Mailing address
United States Department of State, M/Med/Qi
2401 E. Street, NW, Sa-1
Washington, DC 20522-0102
Phone (202) 662-1682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R9N10 | Other | MO | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9N10 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679677066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNITED STATES DEPARTMENT OF STATE, M/MED/QI",
"address_2": "2401 E. STREET, NW, SA-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220102",
"telephone_number": "202-662-1682",
"fax_number": "202-663-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNITED STATES DEPARTMENT OF STATE, M/MED/QI",
"address_2": "2401 E. STREET, NW, SA-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220102",
"telephone_number": "202-662-1682",
"fax_number": "202-663-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ERNEST",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R9N10",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R9N10",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.