Individual provider Active NPI

Joseph Stewart Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethesda, MD
National Provider Identifier
1699842997
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R180390 Issued in MD
Practice address
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone
(301) 295-4455
NPI assigned
Nov 29, 2006
Last updated
Apr 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R180390 MD Primary
Certified Registered Nurse Anesthetist 367500000X 0024168000 VA

Addresses

Primary practice location

8901 Wisconsin Ave
Bethesda, MD 20889-0001

Mailing address

12719 Halyard PL
Fort Washington, MD 20744-7041
Phone (301) 466-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081024000319 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820156524 Reassigns benefits to 3 organizations
I20090820000696 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820156524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corridor Anesthesia, LLCGroup PAC ID 0941231153, 9 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 230
Laurel, MD 20707-5268
Phone (301) 498-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024168000VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jan 17, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jan 17, 2018 Accepting new patients
Bestgate Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2015 Accepting new patients
Laurel MD Endoscopy ASC LLC Current Accepting new patients
Corridor Anesthesia, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Sep 12, 2011 Accepting new patients
The Maryland Center for Digestive Health LLC PastSince Jun 13, 2018 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

820 Bestgate Rd
Ste 1A
Annapolis, MD 21401

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1699842997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 HALYARD PL",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207447041",
            "telephone_number": "301-466-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSEPH",
        "middle_name": "STEWART",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R180390",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.