EDWIN B. DAVIS MD NPI 1780642900

NPI Information

NPI: 1780642900
Provider Name: EDWIN B. DAVIS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
502 VAN BUREN ST
FOSTORIA, OH
ZIP 44830
Phone: (419) 436-6697
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Edwin B. Davis, MD is a family medicine in Fostoria, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Edwin B. Davis, MD NPI is 1780642900. 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:

502 VAN BUREN ST
FOSTORIA, OH
ZIP 44830-533
Phone: (419) 436-6697
Fax: (419) 436-6612

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.

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	207Q00000X	Family Medicine		35029216	OHIO	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	24-54053	OTHER	OHIO	UHC
2	DA0143419	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	04788	OTHER	OHIO	PARAMOUNT
4	PENDING	OTHER	OHIO	AETNA
5	PENDING	OTHER	OHIO	RRMC
6	0136392	MEDICAID	OHIO
7	000000375015	OTHER	OHIO	ANTHEM
8	PENDING	OTHER	OHIO	TRICARE
9	A73328	MEDICARE UPIN	OHIO

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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