Individual provider Active NPI

Alex Davis, DO

  • Emergency Medicine Physician
  • Ames, IA
National Provider Identifier
1932647047
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05710 Issued in IA
Practice address
1111 Duff Ave
Ames, IA 50010-5745
Phone
(515) 239-2155
Fax
(515) 239-6205
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.014538 OH
Student in an Organized Health Care Education/Training Program 390200000X IA
Emergency Medicine Physician 207P00000X 05710 IA Primary

Addresses

Primary practice location

1111 Duff Ave
Ames, IA 50010-5745

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adavis105781@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20200721003779 OH Practitioner - Emergency Medicine 8224309919 Reassigns benefits to 1 organization
I20210527000946 IA Practitioner - Emergency Medicine 8224309919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-4472

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05710IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Jul 19, 2021 Accepting new patients
Pomerene Hospital CurrentSince Jun 1, 2020 Accepting new patients

Locations

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1932647047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105745",
            "telephone_number": "515-239-2155",
            "fax_number": "515-239-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEX",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014538",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "05710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adavis105781@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.