RICHARD DAVIS PA NPI 1720536618

NPI Information

  • NPI: 1720536618
  • Provider Name: RICHARD DAVIS, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4630 AMBASSADOR CAFFERY PKWY STE 302
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 470-3580

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NPI Details

Richard Davis, PA is a surgical physician assistant in Lafayette, LA with 10 years of experience. Richard Davis, PA NPI is 1720536618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2016

The provider's business location address is:

4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA
ZIP 70508-950
Phone: (337) 470-3580
Fax: (337) 470-3586

The NPI 1720536618 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Exclusion of appendage of left upper chamber of heart performed during other procedure on chest (HCPCS:33268)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 9/20/2016 and was last updated on 3/25/2021.

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
1363AS0400XPhysician AssistantSurgical303582LOUISIANAYes

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: 11/21/2025

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