Raul David Davila, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME79321 Issued in FL

Practice address

8192 College Pkwy Ste A18
Fort Myers, FL 33919-5198

Phone

(239) 454-0418

Fax

(239) 454-0419

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Raul David Davila Correa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Anesthesia Group, LLC

  • Certified Registered Nurse Anesthetist
  • Miami, FL
  • NPI 1174561955
  NPD (past)
• Surg Med Assistants

  • Surgical Physician Assistant
  • Miami Lakes, FL
  • NPI 1053470849
  NPD (past)
• Surg Med of Northshore

  • Surgical Physician Assistant
  • Miami Lakes, FL
  • NPI 1316006117
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1972532968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY STE A18",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195198",
            "telephone_number": "239-454-0418",
            "fax_number": "239-454-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY STE A18",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195198",
            "telephone_number": "239-454-0418",
            "fax_number": "239-454-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "RAUL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME79321",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME79321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "DAVILA CORREA",
            "middle_name": "DAVID",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Davidson, LPN
• Paige Davidson, APRN
• Davie Medical Equipment, Inc.
• Jessica Catherine Davie, CRNA
• Maria Jose Davila Martinez
• Rolando Davila
• Paula M Davis-Huffman, ARNP
• Ashley Rubin Davis
• Barbara A Davis, LMHC
• Blake Allen Davis, PA

• Pain Medicine (Anesthesiology) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.