CASEY LEIGH DAVIS PA-C NPI 1710201272

NPI Information

NPI: 1710201272
Provider Name: CASEY LEIGH DAVIS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 909-1359
Get Directions

Casey Leigh Davis, PA-C is a surgical physician assistant in Saint Louis, MO. Casey Leigh Davis, PA-C NPI is 1710201272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO
ZIP 63122-356
Phone: (314) 909-1359
Fax: (314) 909-1370

The NPI 1710201272 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 3/26/2010 and was last updated on 1/31/2014.

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	207P00000X	Emergency Medicine		085.003693	ILLINOIS	No
2	363A00000X	Physician Assistant		085.003693	ILLINOIS	No
3	363A00000X	Physician Assistant		2011030386	MISSOURI	No
4	363AS0400X	Physician Assistant	Surgical	2011030386	MISSOURI	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	Other Provider Identifier Issuer
1	IL1682040	MEDICARE PIN	ILLINOIS

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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