Sara J Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04715 Issued in TX

Practice address

6873 Greenwich LN
Dallas, TX 75230-2845

Phone

(214) 604-8666

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sara J Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sadavis@direct.uspi.com

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.

• Las Colinas Orthopedic Surgery and Sports Medicine P.a.

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  • NPI 1952396996
  NPD (past)
• Orthotx, PLLC

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1336134469
  NPD (past)
• Orthotx, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1831919679
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1811930787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 GREENWICH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302845",
            "telephone_number": "214-604-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6873 GREENWICH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302845",
            "telephone_number": "214-604-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel A Davis, R.D.
• Rachel Anne Davis, MD
• Randy John Davis, D.O.
• Rita K Davis, LBSW
• Robin L Davis, RN, CNM
• Sarah Blom Davis, M.D.
• Sarah Elizabeth Davis, PHARM.D.
• Sharon J Davis, DO
• Stanley L. Davis, MD
• Stephanie B Davis, DMD

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.