Jonathan W.R. Davies

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A72280 Issued in CA

Legal business name

JONATHAN W.R. DAVIES

Doing business as

Lake County Obstetrics and Gynecology

Practice address

5106 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 263-9036

Fax

(707) 263-9039

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan W. R. Davies, M.D.

Title

Owner

Phone

(707) 263-9036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake County Obstetrics and Gynecology Doing business as

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1720288426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-9036",
            "fax_number": "707-263-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-263-9036",
            "fax_number": "707-263-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN W.R. DAVIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W. R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-263-9036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A72280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A722800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Vernetta Johnson, M.D.
• Sharie Johnson
• Stacy Johnson
• Robert Charles Jolin, D.C.
• Jonathan M Drew DDS Inc
• Cheryl Jo Jones-Murray, N.P.
• Patricia Ann Jones, M.F.T.
• James Roger Kahn, MD
• Joan Kammerer, RN.PHN
• Mark Brien Kane, PA-C

• Gynecology Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.