Charles B. Davis, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARLES B. DAVIS, M.D., INC.

Practice address

575 Mount Auburn St
Cambridge, MA 02138-4656

Phone

(617) 876-3315

Fax

(617) 661-5995

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles B. Davis, M.D.

Title

Owner

Phone

(617) 876-3315

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula Piccolo, NP

  • Adult Health Nurse Practitioner
  • Cambridge, MA
  • NPI 1437117330
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992851612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384656",
            "telephone_number": "617-876-3315",
            "fax_number": "617-661-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384656",
            "telephone_number": "617-876-3315",
            "fax_number": "617-661-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. DAVIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-876-3315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Ming Chu Chang, LMT
• Lipai Chang
• Elizabeth Northcutt Chaniotakis, PT
• Thanissara Chansakul, M.D.
• Suzanne L Chapnick, M.D.
• Jennifer Charles
• Jessica Charles, RN
• Kleckner Charles II, DPT
• Porter Charles, LICSW
• Celia Alexandra Charlois, PA

• Internal Medicine Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.