Active NPI
Allen Davies, MD
- Surgery Physician
- Elkton, MD
National Provider Identifier
1760406540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0022195
- Practice address
- 106 Bow St
Elkton, MD 21921-5544 - Phone
- (410) 398-4000
- NPI assigned
- Jul 26, 2006
- Last updated
- Nov 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0022195 | MD | Primary |
Addresses
Primary practice location
106 Bow St
Elkton, MD 21921-5544
Mailing address
PO Box 7356
Lancaster, PA 17604-7356
Phone (410) 398-4679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA3254 | Other | MD | MEDICARE RAILROAD GROUP |
| P00281393 | Other | MD | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0022195 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCHS Thoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newark, DE
- NPI 1154306512
-
dba CCHS Chief's Surgical Services
- Surgery Physician
- Wilmington, DE
- NPI 1952385122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1760406540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7356",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176047356",
"telephone_number": "410-398-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215544",
"telephone_number": "410-398-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0022195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "DA3254",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00281393",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.