NPIMap

Individual provider Active NPI

Calvin P Davis Jr., PA

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1689628505
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.001487RX Issued in OH
Practice address
3975 Embassy Pkwy Ste 3
Akron, OH 44333-8320
Phone
(330) 670-4242
Fax
(330) 670-4241
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.001487RX OH Primary

Addresses

Primary practice location

3975 Embassy Pkwy Ste 3
Akron, OH 44333-8320

Mailing address

PO Box 72434
Cleveland, OH 44192-0002
Phone (330) 668-7428

Other practice location 1

1000 E Washington St
Medina General Hospital
Medina, OH 44256-2170
Phone (866) 266-8189

Other identifiers 1

IdentifierTypeStateIssuer
0150389MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000886 OH Practitioner - Physician Assistant 1658260344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic Orthopaedic Center, LLCGroup PAC ID 6507934015, 41 clinicians

Practice addresses (Care Compare)

1622 E Turkeyfoot Lake Rd
Suite 200
Green, OH 44312-0181
Phone (330) 644-7436

3340 W Market St
Suite 200
Fairlawn, OH 44333-3381

3557 Embassy Pkwy
Akron, OH 44333-8358
Phone (330) 670-1005

3925 Embassy Pkwy
Akron, OH 44333-1782
Phone (330) 668-4040

3925 Embassy Pkwy
Suite 130
Akron, OH 44333-1785

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1799
Phone (330) 668-4065

3975 Embassy Pkwy
Akron, OH 44333-8320
Phone (330) 668-4040

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

Hospital & facility affiliations

  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Jan 1, 2017 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Physician Assistant CurrentSince Jan 1, 2017 Accepting new patients
Partners Physician Group CurrentSince Jan 6, 2024 Accepting new patients
Partners Physician Group CurrentSince Jan 6, 2024 Accepting new patients
Crystal Clinic Inc Past Accepting new patients
Medina Emergency Associates LTD Past Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

72 5th St SE
Ste A
Barberton, OH 44203
Phone (330) 670-4111

4466 Fulton Dr NW
Ste 3
Canton, OH 44718

4466 Fulton Dr NW
Canton, OH 44718
Phone (330) 489-1386

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

3975 Embassy Pkwy
Ste 3
Fairlawn, OH 44333
Phone (330) 668-6789

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

3925 Embassy Pkwy
Ste 200
Fairlawn, OH 44333
Phone (330) 668-4055

1622 E Turkeyfoot Lake Rd
Ste 200
Green, OH 44312
Phone (330) 644-7436

1622 E Turkeyfoot Lake Rd
Ste 201
Green, OH 44312
Phone (330) 776-4440

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

2007 State Route 59
Kent, OH 44240
Phone (330) 673-1904

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

4975 Foote Rd
Ste 100
Medina, OH 44256

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1689628505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72434",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "330-668-7428",
            "fax_number": "330-666-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY STE 3",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320",
            "telephone_number": "330-670-4242",
            "fax_number": "330-670-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Washington St",
            "address_2": "Medina General Hospital",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562170",
            "country_code": "US",
            "telephone_number": "866-266-8189",
            "fax_number": "330-654-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CALVIN",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001487RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150389",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.