Scott M Davis MD LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

SCOTT M DAVIS MD LLC

Practice address

89 Cannon Road
South Portland, ME 04106

Phone

(207) 356-7153

Fax

(207) 407-7186

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Scott Mitchell Davis, M.D.

Title

Owner

Phone

(207) 356-7153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1972127330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CANNON ROAD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-356-7153",
            "fax_number": "207-407-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CANNON ROAD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-356-7153",
            "fax_number": "207-407-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M DAVIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-356-7153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna-Lena Schneider, FNP
• Charles Robert Schneider, LCSW, C-CATODSW
• Florence Heidi I Schreiner
• Emma Gabrielle Price Schwartz, MSW-CC
• Laura A Schwindt, MD
• Seacoast Angels, Inc.
• Seacoast Hand Therapy
• Edmund Hamilton Sears Jr., MD
• Abigail J Sedenka, AUD
• David B Seder, M.D.

• Addiction Medicine (Internal Medicine) Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Addiction Medicine (Internal Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.