DR. WILLIE BOB DAVIS ME NPI 1659376952

NPI Information

NPI: 1659376952
Provider Name: DR. WILLIE BOB DAVIS, ME
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
20333 W 151ST ST
OLATHE, KS
ZIP 66061
Phone: (913) 791-4408
Get Directions

DR. Willie Bob Davis, ME is a diagnostic radiology radiology in Olathe, KS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Willie Bob Davis, ME NPI is 1659376952. 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:

20333 W 151ST ST
OLATHE, KS
ZIP 66061-350
Phone: (913) 791-4408
Fax: (913) 791-4438

The enumeration date for this NPI number is 6/15/2005 and was last updated on 5/28/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	R5059	MISSOURI	No
2	207Q00000X	Family Medicine		KS 04-17213	KANSAS	No
3	207Q00000X	Family Medicine		MO R5059	MISSOURI	No
4	2085R0202X	Radiology	Diagnostic Radiology	04-17213	KANSAS	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	201018322	MEDICAID	MISSOURI
2	10001780C	MEDICAID	KANSAS
3	J960640	MEDICARE PIN	MISSOURI
4	O57889	MEDICARE PIN	KANSAS
5	D93753	MEDICARE UPIN
6	J960640A	MEDICARE PIN	KANSAS

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

NPI Synchronization or Removal

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