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DR. SHELTON AVERY DAVIS MD NPI 1235120684


NPI Information

NPI: 1235120684
Provider Name: DR. SHELTON AVERY DAVIS, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
17 WESTERN MARYLAND PKWY
SUITE 100
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 797-9240
Get Directions

DR. Shelton Avery Davis, MD is a pain medicine physical medicine rehabilitation in Hagerstown, MD. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DR. Shelton Avery Davis, MD NPI is 1235120684. 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:

17 WESTERN MARYLAND PKWY
SUITE 100
HAGERSTOWN, MD
ZIP 21740-471
Phone: (301) 797-9240
Fax: (301) 797-4119

The NPI 1235120684 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 11/3/2005 and was last updated on 7/1/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine0101057082VIRGINIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineD0066221MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
196386101OTHERMARYLANDBCBS LOCAL CAREFIRST KG85
2P00854251OTHERMARYLANDRR MEDICARE MD
3184468YQUMEDICARE PINMARYLAND
4VAD000MEDICARE UPIN
5312202600MEDICAIDMARYLAND
6W2660027OTHERMARYLANDBCBS REGIONAL W266

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: 11/14/2023

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.