Page M Davis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD021353 Issued in PA

Practice address

1400 S Forge Rd Ste 1
Palmyra, PA 17078-9519

Phone

(717) 838-1301

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lebanon Valley Family Medicine, Inc

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1386609014

  Multi-Specialty

  NPD
• Lebanon Valley Family Medicine Inc

  • Non-Pharmacy Dispensing Site
  • Palmyra, PA
  • NPI 1639369804
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1700532207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 WOODBINE DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332665",
            "telephone_number": "678-876-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S FORGE RD STE 1",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789519",
            "telephone_number": "717-838-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAGE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD021353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corl Eyecare, LLC
• Timothy Ryan Corl, O.D.
• Crosstown Dental Group
• Jill Beth D'Amico, D.O.
• Melissa Dailey
• Saudia Ann Decarlo, RN IBCLC
• Kalyn Detweiler
• Kaitlin Dougherty, MA
• Samantha Dougherty, COTA
• Drayer Physical Therapy Institute LLC

• Family Medicine Physician in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.