Charles I Davis MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

0429493 Issued in KS

Legal business name

CHARLES I DAVIS MD PA

Practice address

9250 Glenwood St
Suite 100
Overland Park, KS 66212-1365

Phone

(913) 648-8880

Fax

(913) 648-8881

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Isaac Davis, M.D.

Title

President

Phone

(913) 648-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra A Morris, ARNP

  • Adult Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1316108566
  NPD (past)
• Mary Katherine Pendleton, APRN

  • Adult Health Nurse Practitioner
  • Oregon, IL
  • NPI 1194788992
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402099200000",
    "number": "1811924780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 GLENWOOD ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121365",
            "telephone_number": "913-648-8880",
            "fax_number": "913-648-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLENWOOD ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121365",
            "telephone_number": "913-648-8880",
            "fax_number": "913-648-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES I DAVIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-06-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-648-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "0429493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Chapman
• Chapters Antioch LLC
• Chapters Lamar LLC
• Charles E Emms D.C., PA
• Charles E. Bare II, M.D., P.a.
• Charlotte M Rosenak PHD LLC
• Jessica Ann Charpentier, ARNP
• Trina Chartier, COTA
• Chateau Healthcare Management, LLC (ashford place)
• Arhana Chattopadhyay, MD

• Geriatric Medicine (Internal Medicine) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Geriatric Medicine (Internal Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.