Davis Health PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DAVIS HEALTH PC

Practice address

275 Hancock St
Second Floor
Quincy, MA 02171-2249

Phone

(617) 640-1402

NPI assigned

Jan 10, 2013

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kurt C FabrickNPI 1538113477

Title

President

Phone

(617) 640-1402

Specialties & licenses 1

Addresses

Other names 1

• Davis Clinic, P.C. Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurt Charles Fabrick, M.D., M.P.H.

  • Internal Medicine Physician
  • Brookline, MA
  • NPI 1538113477
  NPD (past) Authorized official
• Fariba Miryousefi, MD

  • Internal Medicine Physician
  • Brighton, MA
  • NPI 1609808138
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1720325772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLINTON PATH",
            "address_2": "UNIT 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454207",
            "telephone_number": "617-640-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HANCOCK ST",
            "address_2": "SECOND FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712249",
            "telephone_number": "617-640-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "FABRICK",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-640-1402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Clinic, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Junior Daveiga
• Annette Love Davidoff, DMD
• Janice Ann Davidowicz, PH.D.
• Jeffrey Phillips Davies I, D.O.
• Davis Clinic Management Inc
• Marcia Davis-Bowles
• Amanda Lynn Davis
• Annie Christian Davis, BCBA, LABA
• Donna Dee Davis, RN, MSN, PMHCNS, CRN
• Halle Davis, LICSW

• Health Service Clinic/Center in Quincy, MA
• Providers in Quincy, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.