Lee W Davis, DO

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS004835L Issued in PA

Practice address

407 N State St
Clarks Summit, PA 18411-1061

Phone

(570) 586-9500

Fax

(570) 586-9485

NPI assigned

Jan 12, 2006

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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Scranton Quincy Clinic Company LLC

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1508143074

  PA

  Medicare reassignment NPD
• Scranton Quincy Clinic Company LLC

  • Obstetrics & Gynecology Physician
  • Scranton, PA
  • NPI 1548547946

  Gynecology

  NPD
• Physicians Health Alliance Inc

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1689976730
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1922087485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111061",
            "telephone_number": "570-586-9500",
            "fax_number": "570-586-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111061",
            "telephone_number": "570-586-9500",
            "fax_number": "570-586-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS004835L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009667450004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Cross
• Judy Cutler, PT
• Sandra Ann Dana, CRNP
• Eric John Darling
• Allison Davis, LSW
• Michele Elizabeth Davis, MS, CACD, LPC
• Geraldine Dawson, MD, LCSW
• John P Deleon Jr.
• Deleon'S Chiropractic Health Center
• Charles W Dennis, DMD

• All providers in Clarks Summit, PA
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.