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NEVILLE DAVIS MD NPI 1790722437


NPI Information

NPI: 1790722437
Provider Name: NEVILLE DAVIS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2511 W EDGEWOOD DR
STE D
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 761-2121
Get Directions

Neville Davis, MD is a family medicine in Jefferson City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Neville Davis, MD NPI is 1790722437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2511 W EDGEWOOD DR
STE D
JEFFERSON CITY, MO
ZIP 65109-869
Phone: (573) 761-2121
Fax: (573) 635-0726

The NPI 1790722437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineR4P82MISSOURINo
2207Q00000XFamily MedicineR4P82MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102869OTHERMISSOURIHEALTHLINK
2961915236MEDICARE PINMISSOURI
3H50335MEDICARE UPINMISSOURI
4999110635MEDICARE PINMISSOURI
5205754807MEDICAIDMISSOURI
6080191639MEDICARE PINMISSOURI
7961915095MEDICARE PINMISSOURI
840006670OTHERMISSOURIRR MEDICARE
9104984OTHERMISSOURIUNITED HEALTHCARE
10205958408MEDICAIDMISSOURI
11P00609876MEDICARE PINMISSOURI
122086335801OTHERMISSOURIKANSAS MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.