Individual provider Active NPI

James Kenneth Davis, MD

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1700887809
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46941 Issued in OH
Practice address
585 White Pond Dr
Ste C
Akron, OH 44320-1115
Phone
(330) 836-8108
Fax
(330) 836-9505
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46941 OH Primary

Addresses

Primary practice location

585 White Pond Dr
Ste C
Akron, OH 44320-1115

Mailing address

585 White Pond Dr
Ste C
Akron, OH 44320-1115
Phone (330) 836-8108

Other identifiers 1

IdentifierTypeStateIssuer
0557446MedicaidOH

Other names 1

  • J Kenneth Davis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001539 OH Practitioner - Obstetrics/Gynecology 2062538036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46941OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center Obstetrics & Gynecology CurrentSince Apr 2, 2011 Accepting new patients
Akron General Medical Center Obstetrics & Gynecology CurrentSince Apr 2, 2011 Accepting new patients
Partners Physician Group CurrentSince May 23, 2024 Accepting new patients
Partners Physician Group CurrentSince May 23, 2024 Accepting new patients

Locations

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

1 Akron General Ave
Ste 374
Akron, OH 44307
Phone (330) 344-5487

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1700887809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-836-8108",
            "fax_number": "330-836-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-836-8108",
            "fax_number": "330-836-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "46941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0557446",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "DAVIS",
            "middle_name": "KENNETH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.