CRAIG MATTHEW DAVIS M.D. NPI 1972611556

NPI Information

NPI: 1972611556
Provider Name: CRAIG MATTHEW DAVIS, M.D.
Classification: Dermatology - 207ND0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
8440 W LAKE MEAD BLVD
SUITE 104
LAS VEGAS, NV
ZIP 89128
Phone: (702) 489-4838
Get Directions

Craig Matthew Davis, M.D. is a dermatopathology dermatology in Las Vegas, NV. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Craig Matthew Davis, M.D. NPI is 1972611556. 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:

8440 W LAKE MEAD BLVD
SUITE 104
LAS VEGAS, NV
ZIP 89128-648
Phone: (702) 489-4838
Fax: (702) 489-4837

The NPI 1972611556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/20/2016.

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	207ZD0900X	Pathology	Dermatopathology	23337	OKLAHOMA	No
2	207N00000X	Dermatology		23337	OKLAHOMA	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4820	OKLAHOMA	No
4	207ZD0900X	Pathology	Dermatopathology	10713	NEVADA	No
5	207ND0101X	Dermatology	MOHS-Micrographic Surgery	10713	NEVADA	No
6	207NS0135X	Dermatology	Procedural Dermatology	10713	NEVADA	No
7	207N00000X	Dermatology		10713	NEVADA	No
8	207ZP0101X	Pathology	Anatomic Pathology	10713	NEVADA	No
9	207N00000X	Dermatology		31661	ARIZONA	No
10	207ND0900X	Dermatology	Dermatopathology	31661	ARIZONA	No
11	207ZD0900X	Pathology	Dermatopathology	31661	ARIZONA	No
12	207ZP0101X	Pathology	Anatomic Pathology	31661	ARIZONA	No
13	207ND0101X	Dermatology	MOHS-Micrographic Surgery	31661	ARIZONA	No
14	207ND0900X	Dermatology	Dermatopathology	10713	NEVADA	Yes
15	208D00000X	General Practice		10713	NEVADA	No

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
1	G80584	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: 4/28/2024

NPI Synchronization or Removal

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