Robert Earle Davis

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

092142 Issued in NY

Practice address

4120 State Route 9
Plattsburgh, NY 12901-5623

Phone

(518) 566-9439

NPI assigned

Apr 26, 2007

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Robert Earle Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1982824421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 STATE ROUTE 9",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129015623",
            "telephone_number": "518-566-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 STATE ROUTE 9",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129015623",
            "telephone_number": "518-566-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "EARLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "092142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "DAVIS",
            "middle_name": "EARLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eileen E Davis Roesler, MS CCCA
• Barbara Davis-Meconi, R.N.
• Gordon H Davis, DMD,DMSC
• Jerome Alfred Davis, M.D.
• Kelly L Davis, PT
• Donald W. Davison, D.D.S.
• Jennifer Mercier De Goey, P.T.
• James L De Lucas, M.D.
• Christopher Anthony Deangelis, M.D.
• Elena Deangelis, PHARMD

• Gynecology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.