Active NPI
Kathleen M Davis, M.D.
- Anesthesiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0064505
- Practice address
- 110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642 - Phone
- (410) 328-6720
- Fax
- (410) 328-1674
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0064505 | MD | Primary |
Addresses
Primary practice location
110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642
Mailing address
PO Box 64374
Baltimore, MD 21264-4374
Phone (410) 328-6720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA8702 | Other | MD | RAILROAD MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Maryland School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Adventhealth Zephyrhills
- Adventhealth Dade City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064505 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephyrhills Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Zephyrhills Anesthesiology Associates LLC | Current | Accepting new patients |
Locations
13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Zephyrhills, FL
- NPI 1902064546
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Interventional Pain Medicine Physician
- Lakeland, FL
- NPI 1467334557
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1760418461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64374",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644374",
"telephone_number": "410-328-6720",
"fax_number": "410-328-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "SUITE 300 6TH FL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-6720",
"fax_number": "410-328-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0064505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CA8702",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.