Active NPI
Wellington Joseph Davis III, M.D.
- Plastic and Reconstructive Surgery Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD432065
- Practice address
- 1210 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6229 - Phone
- (610) 402-7999
- Fax
- (610) 402-7995
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036-109354 | IL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD432065 | PA | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6229
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
110 LVPG Pediatric Surgical Specialties
Allentown, PA 18103-6229
Phone (610) 402-7999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109354 | IL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Apple Drugs Inc | Past | Accepting new patients |
Locations
400 N 17th St
Ste 207
Allentown, PA 18104
Phone (610) 402-2810
1210 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 402-7999
1210 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103
Phone (610) 402-7999
1210 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 402-7999
153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
3701 Corriere Rd
Ste 10
Palmer Township, PA 18045
Phone (484) 591-7060
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
320 W Pumping Station Rd
Ste 4
Quakertown, PA 18951
Phone (215) 529-4270
Organizations & group practices 10
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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba St. Christopher's Pediatric Associates Emergency Medicine - E. Erie A
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
-
dba LVPG Neuropsychology - 1250 Cedar Crest
- Psychiatry Physician
- Allentown, PA
- NPI 1003072752
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
dba St. Christopher's Pediatric Associates General Surgery - Brodhead Rd
- Surgery Physician
- Bethlehem, PA
- NPI 1164066502
-
dba St. Christopher's Pediatric Associates Ophthalmology - Newtown Yardley
- Ophthalmology Physician
- Newtown, PA
- NPI 1548141997
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1982813853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD STE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036229",
"telephone_number": "610-402-7999",
"fax_number": "610-402-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WELLINGTON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036-109354",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD432065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.