Active NPI
Zachary T Davis, MSN, APRN, CNP
- Nurse Practitioner
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN363464
- Practice address
- 349 Niles Cortland Rd NE
Warren, OH 44484-1976 - Phone
- (330) 372-0260
- Fax
- (330) 372-0261
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.14275NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.14275 | OH | |
| Nurse Practitioner | 363L00000X | RN363464 | OH | Primary |
Addresses
Primary practice location
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Mailing address
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone (330) 372-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081456 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14275NP | OH | MD | Nurse Practitioner |
| RN363464 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E. Bisel, DO & Associates, LLC | Current | Accepting new patients | |
| Mahoning Valley Emergency Specialists LLC | Current | Accepting new patients | |
| 4M Hospitalist Services, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
29 N Adams St
Akron, OH 44304
Phone (330) 572-7293
3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
349 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-0260
667 Eastland Ave SE
Fl 5
Warren, OH 44484
Phone (330) 841-4750
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
Interoperability endpoints
- zdavis42868@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
Nurse Practitioner
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1003869652
-
- Internal Medicine Physician
- Warren, OH
- NPI 1376649491
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1205888237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1952640146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 NILES CORTLAND RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841976",
"telephone_number": "330-372-0260",
"fax_number": "330-372-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 NILES CORTLAND RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841976",
"telephone_number": "330-372-0260",
"fax_number": "330-372-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ZACHARY",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MSN, APRN, CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.14275NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.14275",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN363464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081456",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.