CHARLES I DAVIS MD PA NPI 1811924780

NPI Information

  • NPI: 1811924780
  • Provider Name: CHARLES I DAVIS MD PA
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 9250 GLENWOOD ST
    SUITE 100
    OVERLAND PARK, KS
    ZIP 66212
  • Phone: (913) 648-8880

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NPI Details

CHARLES I DAVIS MD PA is a geriatric medicine internal medicine in Overland Park, KS. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CHARLES I DAVIS MD PA NPI is 1811924780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9250 GLENWOOD ST
SUITE 100
OVERLAND PARK, KS
ZIP 66212-365
Phone: (913) 648-8880
Fax: (913) 648-8881

The provider's authorized official is Charles Isaac Davis .
The authorized official title is President and has the following contact phone number (913) 648-8880.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 6/7/2014.

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
1207RG0300XInternal MedicineGeriatric Medicine0429493KANSASYes

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
1R280000AMEDICARE PINMISSOURI
2111023MEDICARE PINKANSAS
3H87999MEDICARE UPINKANSAS
4DB1897MEDICARE PIN
5R280000MEDICARE PINKANSAS

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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