NPIMap

Organization Active NPI

Dr. Melissa Davis, P.S.C.

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1972792034
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30210 Issued in KY
Legal business name
DR. MELISSA DAVIS, P.S.C.
Practice address
2222 Winchester Ave
Ashland, KY 41101-7847
Phone
(606) 325-9644
Fax
(606) 329-1207
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Melissa S Davis, M.D.NPI 1972574978
Title
President
Phone
(606) 325-9644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30210 KY Primary

Addresses

Primary practice location

2222 Winchester Ave
Ashland, KY 41101-7847

Mailing address

2222 Winchester Ave
Ashland, KY 41101-7847
Phone (606) 325-9644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1972792034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-9644",
            "fax_number": "606-329-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-9644",
            "fax_number": "606-329-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MELISSA DAVIS, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-325-9644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.