Individual provider Active NPI

Evan Corliss Davies, AUD.

  • Audiologist
  • Tucson, AZ
National Provider Identifier
1750060141
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA14619 Issued in AZ
Practice address
6206 E Pima St Ste 4
Tucson, AZ 85712-7001
Phone
(520) 399-7652
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA14619 AZ Primary

Addresses

Primary practice location

6206 E Pima St Ste 4
Tucson, AZ 85712-7001

Mailing address

2172 E Cerrado Brio
Tucson, AZ 85718-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824002225 AZ Practitioner - Qualified Audiologist 3173986049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Hearing SpecialistsGroup PAC ID 2769466788, 9 clinicians

Practice addresses (Care Compare)

6206 E Pima St
Suite 4
Tucson, AZ 85712-7001
Phone (520) 742-2845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA14619AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hearing Specialists Audiologist CurrentSince Jul 31, 2023 Accepting new patients
Arizona Hearcare Network, Inc Past Accepting new patients

Locations

7574 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 742-2845

6969 E Sunrise Dr
Ste 200
Tucson, AZ 85750
Phone (520) 742-2845

6206 E Pima St
Ste 4
Tucson, AZ 85712
Phone (520) 742-2845

Organizations & group practices 2

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1750060141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 E CERRADO BRIO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 E PIMA ST STE 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857127001",
            "telephone_number": "520-399-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "EVAN",
        "middle_name": "CORLISS",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA14619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.