Lynn Keyes Davis, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

017849 Issued in CT

Practice address

43 Woodland St
Suite G-80, Gothic Park
Hartford, CT 06105-2363

Phone

(860) 527-5803

Fax

(860) 525-3687

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medical Oncology and Blood Disorders, LLP

  • Hematology & Oncology Physician
  • Manchester, CT
  • NPI 1225045636
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1730148909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WOODLAND ST",
            "address_2": "SUITE G-80, GOTHIC PARK",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052363",
            "telephone_number": "860-527-5803",
            "fax_number": "860-525-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WOODLAND ST",
            "address_2": "SUITE G-80, GOTHIC PARK",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052363",
            "telephone_number": "860-527-5803",
            "fax_number": "860-525-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LYNN",
        "middle_name": "KEYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "017849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Davilli-Thomson, MSPT
• Courtney Leigh Davis, APRN
• Harina S Davis
• Julie E. Davis, LCSW
• Kerreis Jada Davis
• Nicole L Davis, PA-C
• Stephen Lawrence Davis, MD
• Trudy Davis
• Ebonie Dawes
• Kendra Dawless, PA-C

• Specialist in Hartford, CT
• Providers in Hartford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.