Patrick Edward Davis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

23962 Issued in NE

Practice address

401 W Poplar St
Walla Walla, WA 99362-2846

Phone

(509) 897-5850

Fax

(509) 897-5887

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Inland Imaging Associates PS

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1982236469

  Diagnostic Radiology, MT, OR, WA

  Medicare reassignment Care Compare group NPD
• Inland Imaging LLC

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1851352348

  Diagnostic Radiology, MT, OR, WA

  Medicare reassignment Care Compare group NPD
• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1205189461

  Diagnostic Radiology, MT, OR, WA

  Medicare reassignment Care Compare group NPD
• Moses Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Moses Lake, WA
  • NPI 1699862813

  WA

  Medicare reassignment Care Compare group NPD
• Columbia County Hospital District

  • Critical Access Hospital
  • Dayton, WA
  • NPI 1134128911

  WA

  Medicare reassignment NPD
• Grant County Public Hospital District 2

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, WA
  • NPI 1659445468

  WA

  Medicare reassignment NPD
• Grant County Public Hospital District 3

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ephrata, WA
  • NPI 1134283930

  WA

  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist 1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1205942257

  WA

  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist 1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1356305395

  WA

  Medicare reassignment NPD
• Oregon Healthcare Resources, LLC

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1982907572

  OR, WA

  Medicare reassignment NPD
• The Corvallis Clinic P C

  • Multi-Specialty Clinic/Center
  • Corvallis, OR
  • NPI 1649227265

  OR, WA

  Medicare reassignment NPD
• Moses Lake Community Health Center

  • Student Health Clinic/Center
  • Quincy, WA
  • NPI 1730756644
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580

  Hospital

  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715

  Hospital

  Care Compare affiliation
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886

  Hospital

  Care Compare affiliation
• Commonspirit Oregon

  • Critical Access Hospital
  • Pendleton, OR
  • NPI 1649276734

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integra Imaging PS 126 clinicians

Inland Imaging Associates PS 124 clinicians

Inland Imaging LLC 128 clinicians

Moses Lake Community Health Center 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
• St Anthony Hospital Hospital, Pendleton, OR, CCN 381319
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Medicare fee-for-service enrollment

Enrolled in WA, MT, OR3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1699801720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 OSBORN GLADE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475843",
            "telephone_number": "210-268-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622846",
            "telephone_number": "509-897-5850",
            "fax_number": "509-897-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Osborn Glade",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782475843",
            "country_code": "US",
            "telephone_number": "210-268-3721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Stevens St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042654",
            "country_code": "US",
            "telephone_number": "509-363-7788",
            "fax_number": "509-363-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdavis790098@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 S Stevens St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Davis Sameh Meeker Laboratories PS
• Elizabeth Boatright Davis, LMFTA
• Helen Davis, M.A., L.M.T.
• Madison Mackenzie Davis, LSWAIC
• Mark Anthony Davis, PMHNP-BC
• Steven J. Davis, O.D.
• Timothy J Davis, AU.D.
• Pamela J Daws, R.D.
• Jennifer Dawson, LCSW
• Nicholas Day

• All providers in Walla Walla, WA
• Diagnostic Radiology Physician in Washington

• 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.

Verify at the official NPI Registry.