Active NPI
Ellen Cheney Davis, M.D.
- Surgery Physician
- Rumford, ME
National Provider Identifier
1992993794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD19939
- Practice address
- 420 Franklin St
2ND Floor
Rumford, ME 04276-2104 - Phone
- (207) 369-1106
- Fax
- (207) 369-1180
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.202518 | LA | |
| Surgery Physician | 208600000X | MD19939 | ME | Primary |
Addresses
Primary practice location
420 Franklin St
2ND Floor
Rumford, ME 04276-2104
Mailing address
420 Franklin St
2ND Floor
Rumford, ME 04276-2104
Phone (207) 369-1106
Other names 1
- Ellen Cheney Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190607001978 | VT | Practitioner - General Surgery | 7113172685 | Reassigns benefits to 2 organizations |
| I20241022000222 | NY | Practitioner - General Surgery | 7113172685 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202518 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Porter Hospital, Inc | Surgery | Current | Accepting new patients |
Locations
61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
Interoperability endpoints
- edavis262334@direct.uvmhealth.org
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
Organizations & group practices 7
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Middlebury, VT
- NPI 1265578777
-
- Orthopaedic Surgery Physician
- Middlebury, VT
- NPI 1437435245
-
- Anesthesiology Physician
- Middlebury, VT
- NPI 1871689604
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- New Haven, VT
- NPI 1770611253
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter Hospital Inc
Practice addresses (Care Compare)
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
Hospital & facility affiliations
- Addison County Home Health & Hospice, Inc.
- Porter Hospital Inc
- Elizabethtown Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1992993794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FRANKLIN ST",
"address_2": "2ND FLOOR",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042762104",
"telephone_number": "207-369-1106",
"fax_number": "207-369-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 FRANKLIN ST",
"address_2": "2ND FLOOR",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042762104",
"telephone_number": "207-369-1106",
"fax_number": "207-369-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELLEN",
"middle_name": "CHENEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.202518",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD19939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "ROBERTS",
"middle_name": "CHENEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rumford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.