Organization Active NPI

Cynthia Davis MD, PA

  • Gynecology Physician
  • Englewood, FL
National Provider Identifier
1972804995
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0067506 Issued in FL
Legal business name
CYNTHIA DAVIS MD, PA
Practice address
779 Medical Dr
Suite 3
Englewood, FL 34223-5234
Phone
(941) 475-5002
Fax
(941) 475-6913
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Authorized official

Name
Cynthia Davis, MD
Title
President
Phone
(941) 475-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X ME0067506 FL Primary

Addresses

Primary practice location

779 Medical Dr
Suite 3
Englewood, FL 34223-5234

Mailing address

PO Box 1904
Englewood, FL 34295-1904
Phone (941) 475-5002

National Provider Directory

National Provider Directory

Locations

2061 Englewood Rd
Ste 1
Englewood, FL 34223
Phone (503) 332-8684

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1972804995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1904",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342951904",
            "telephone_number": "941-475-5002",
            "fax_number": "941-475-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 MEDICAL DR",
            "address_2": "SUITE 3",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342235234",
            "telephone_number": "941-475-5002",
            "fax_number": "941-475-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA DAVIS MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-475-5002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0067506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.