Gavin Davis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057086 Issued in PA

Practice address

449 Scranton Carbondale Hwy
Scranton, PA 18508-1115

Phone

(570) 434-6000

Fax

(570) 344-6002

NPI assigned

Sep 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gavin.davis.1@19481.direct.athenahealth.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.

• Express Urgent Care, LLC

  • Multi-Specialty Clinic/Center
  • Dickson City, PA
  • NPI 1417402249
  Medicare reassignment
• Primary Focus Medicine Inc

  • Family Medicine Physician
  • Dickson Cty, PA
  • NPI 1114700689
  Medicare reassignment
• Valley Integrated Urgent Care and Wellness Center Inc

  • Urgent Care Clinic/Center
  • Dickson Cty, PA
  • NPI 1073294732
  Medicare reassignment
• American Sole Emergency Physicians LLC

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1427451616

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1831591759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-434-6000",
            "fax_number": "570-344-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-434-6000",
            "fax_number": "570-344-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hwy 315",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187020652",
            "country_code": "US",
            "telephone_number": "570-822-3300",
            "fax_number": "570-822-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daul F. Remick, DO
• Kaitlyn Davies
• Abigail Davis
• Abygail Davis
• Brittany Davis, MS, CCC-SLP
• Harold J Davis, M.D.
• Margaret Ann Davis, MA, NCC, LAPC
• Luis Fernandez De la Fuente, M.D.
• Genesis J De la Vera Vargas
• Dorothy Ann Dean, LPC

• Physician Assistant in Scranton, PA
• Providers in Scranton, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.