Lawrence Gustavo Davis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

47358 Issued in CO

Practice address

6767 West 29TH Street
Greeley, CO 80634

Phone

(970) 652-2426

Fax

(970) 652-2478

NPI assigned

Nov 2, 2005

Last updated

Oct 14, 2020By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Indiana Medical College, School of Medicine of Purdue University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melissa Memorial Hospital Hospital, Holyoke, CO, CCN 061305
• Dundy County Hospital Hospital, Benkelman, NE, CCN 281340
• Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
• Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
• Community Hospital Hospital, McCook, NE, CCN 281363

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/dundyco-ea364493
• Direct secure messaging: lawrence.davis.1@15466.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Surgery

  Medicare reassignment Care Compare group NPD
• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Medicare reassignment NPD
• East Phillips County Hospital District

  dba Melissa Memorial Hospital SwingBed

  • Medicare Defined Swing Bed Hospital Unit
  • Holyoke, CO
  • NPI 1912915893
  Medicare reassignment NPD
• Poudre Valley Health Care Inc.

  dba Poudre Valley Hospital

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1760492714
  Medicare reassignment NPD
• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  Medicare reassignment NPD
• Dundy County Hospital

  • Critical Access Hospital
  • Benkelman, NE
  • NPI 1093802688
  Medicare reassignment NPD
• Dundy County Hospital

  • Family Medicine Physician
  • Benkelman, NE
  • NPI 1417030123

  Surgery

  Medicare reassignment NPD
• Perkins County Hospital District

  dba Perkins County Community Hospital

  • Critical Access Hospital
  • Grant, NE
  • NPI 1437167970
  Medicare reassignment NPD
• Perkins County Hospital District

  dba Perkins County Health Services

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012
  Medicare reassignment NPD
• East Phillips County Hospital District

  dba Holyoke Family Eye Care

  • Optometrist
  • Holyoke, CO
  • NPI 1265971006
  NPD
• East Phillips County Hospital District

  dba Holyoke EMS

  • Land Ambulance
  • Holyoke, CO
  • NPI 1407444276
  NPD
• Poudre Valley Health Care Inc

  dba Poudre Valley Health System

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857
  NPD

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

• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Care Compare affiliation
• Medical Center of the Rockies

  dba Greeley Emergency Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1104262286
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1750392304
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780243055
  Care Compare affiliation
• Uchealth Greeley Hospital

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780183145
  Care Compare affiliation
• Community Hospital Association

  dba Community Hospital

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500
  Care Compare affiliation
• Dundy County Hospital

  • Critical Access Hospital
  • Benkelman, NE
  • NPI 1093802688
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1851382634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W 29TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345474",
            "telephone_number": "706-522-4269",
            "fax_number": "970-652-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 WEST 29TH STREET",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-652-2426",
            "fax_number": "970-652-2478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Rocky Mountain Ave",
            "address_2": "Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389004",
            "country_code": "US",
            "telephone_number": "970-203-7000",
            "fax_number": "970-203-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAWRENCE",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "47358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01022528",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025926100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133142600",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39126544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer C. Daughtrey
• David Luker DDS, LLC (Luker Dental)
• Alexandra Davin, MSW
• Aundrea Davis
• Erica J Davis
• Sam Davis
• Samuel Wayne Davis, MD
• Jordan Day
• Kent Richins Day, DDS
• Vincenz Lim De Castro, D.O.

• Surgery Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.