Joe D Davison, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4-19672 Issued in KS

Practice address

8200 W Central Ave
Suite 1
Wichita, KS 67212-9503

Phone

(316) 722-6260

Fax

(316) 721-8307

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By 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 3

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

West Wichita Family Physicians, P.a.Group PAC ID 5799745717, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA
• Direct secure messaging: joe.davison@wwfp.eclinicaldirectplus.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.

• West Wichita Family Physicians, P.a.

  dba West Wichita Minor Emergency Office

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1043228984
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• West Wichita Family Physicians, P.a.

  dba West Wichita Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1790902617
  NPD
• West Wichita Family Physicians, P.a.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1902810302
  NPD
• FMS Midwest Dialysis Centers, LLC

  dba Renal Care Group Liberal

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Liberal, KS
  • NPI 1346526431
  NPD (past)

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

• Proactive Home Care, LLC

  dba Phoenix Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891803771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "JOE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "4-19672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4082930",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051992",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "215",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Davis, R.D.L.D.
• Shelby Davis, DPT
• Steven W Davis, MD
• Tatyana Davis
• Tracie Davis, LAC
• Melissa Davison, LSCSW
• Davita Dialysis
• Dawn Fanning Therapy LLC
• Dawn Robinson, Lscsw, LLC
• Dawn S Gettman, LLC

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.