Jessica Davis, M.D.

Key facts

NPI

1780980532

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

373482-1205 (UT)

Practice address

1273 E Bryan Ave
Salt Lake City, UT 84105-2509

Phone

(801) 366-1884

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

Organizations & group practices 6

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.

• Ihc Health Services Inc Multi-Specialty Clinic/Center · Murray, UT · NPI 1629260880
  Medicare reassignment NPD UT
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment NPD UT
• Ihc Health Services, Inc. Critical Access Hospital · Fillmore, UT · NPI 1154438596
  Medicare reassignment NPD UT
• Ihc Health Services Inc Neurology Physician · Ogden, UT · NPI 1215172093
  NPD
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Delta, UT · NPI 1760429302
  NPD EMERGENCY MEDICINE
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc. General Acute Care Hospital · Richfield, UT · NPI 1336256775
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Sevier Valley Hospital Hospital · Richfield, UT · CCN 460026

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Jessica Krimmel Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2014.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1780980532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 E BRYAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 E BRYAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052509",
            "telephone_number": "801-366-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "373482-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KRIMMEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

• James Davis
• James Bradley Davis, P.A.-C.
• Jeffrey Lynn Davis, PA
• Jennifer Jean Davis
• Jeremy J Davis, PSY.D.
• Jessie Davis, DO
• Johnathan Davis
• Jonathan Davis
• Kara Gibbons Davis
• Karli Davis

All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah