Active NPI
Patrick Thomas Davis, CCP
- Perfusionist
- Naples, FL
National Provider Identifier
1942778527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- LP042
- Practice address
- 307 Burnt Pine Dr
Naples, FL 34119-9775 - Phone
- (239) 580-8830
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | LP042 | NV | Primary |
Addresses
Primary practice location
307 Burnt Pine Dr
Naples, FL 34119-9775
Mailing address
307 Burnt Pine Dr
Naples, FL 34119-9775
Phone (239) 580-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP042 | NV | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1942778527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BURNT PINE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199775",
"telephone_number": "239-580-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BURNT PINE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199775",
"telephone_number": "239-580-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICK",
"middle_name": "THOMAS",
"credential": "CCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Perfusionist",
"state": "NV",
"license": "LP042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.