Organization Active NPI

H Gordon Davis III MD SC

  • Obstetrics & Gynecology Physician
  • Hoffman Estates, IL
National Provider Identifier
1962488262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
H GORDON DAVIS III MD SC
Practice address
2500 W Higgins Rd
#640
Hoffman Estates, IL 60195-5220
Phone
(847) 884-0906
Fax
(847) 884-0994
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henry Gordon Davis III, MD
Title
Obstetrician Gynecologist
Phone
(847) 884-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

2500 W Higgins Rd
#640
Hoffman Estates, IL 60195-5220

Mailing address

2500 W Higgins Rd
#640
Hoffman Estates, IL 60195-5220
Phone (847) 884-0906

Other identifiers 1

IdentifierTypeStateIssuer
31602229OtherILBCBS

National Provider Directory

National Provider Directory

Locations

955 Beisner Rd
Elk Grove Vlg, IL 60007
Phone (847) 640-5666

2500 W Higgins Rd
Ste 640
Hoffman Estates, IL 60169
Phone (847) 884-0906

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962488262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "#640",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955220",
            "telephone_number": "847-884-0906",
            "fax_number": "847-884-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "#640",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955220",
            "telephone_number": "847-884-0906",
            "fax_number": "847-884-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H GORDON DAVIS III MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OBSTETRICIAN GYNECOLOGIST",
        "authorized_official_telephone_number": "847-884-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31602229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.