GARY ALAN DAVIS D.O. NPI 1811086473

NPI Information

NPI: 1811086473
Provider Name: GARY ALAN DAVIS, D.O.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
1000 E WASHINGTON ST
MEDINA, OH
ZIP 44256
Phone: (330) 721-5173
Get Directions

Gary Alan Davis, D.O. is a body imaging radiology in Medina, OH. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Gary Alan Davis, D.O. NPI is 1811086473. 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:

1000 E WASHINGTON ST
MEDINA, OH
ZIP 44256-170
Phone: (330) 721-5173
Fax: (330) 721-4908

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

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
1	2085B0100X	Radiology	Body Imaging	34-00-2668	OHIO	Yes

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
1	0478633	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	0444880	MEDICAID	OHIO
3	C01839	MEDICARE UPIN

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

NPI Synchronization or Removal

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