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ELLIOTT M DAVIS DO
NPI 1447954417
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 27, 2023PECOS Enrolled
9015 N 3RD ST, PHOENIX, AZ 85020(480) 882-4545(602) 870-6348 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elliott M Davis Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOTT M DAVIS DO (NPI 1447954417) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447954417
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELLIOTT M DAVISCredential: DO
Location Address9015 N 3RD STPhoenix, AZ 85020-2444
Mailing Address9202 N 2nd StPhoenix, AZ 85020-2458
Phone(480) 882-4545
Fax(602) 870-6348
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1447954417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9015 N 3RD ST, Phoenix, AZ 85020
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliott M Davis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE L CUSTER LCSW
Social Worker (Clinical)
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
DR. GINA LARAINE SMITH M.D.
Family Medicine
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
BRYNNE ROZELL DO
Student in an Organized Health Care Education/Training Program
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
MEGAN CATHLEEN KELLY MD
Family Medicine
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
STANLEY UCHE DO
Student in an Organized Health Care Education/Training Program
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
DAWN A WHITTINGTON LPC
Counselor (Mental Health)
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
MOZHGAN KIMBLE DDS
Dentist (General Practice)
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
JOSHUA JAMES LESLIE PA-C
Physician Assistant
9015 N 3RD ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliott Davis's NPI number?

The NPI number for Elliott Davis is 1447954417. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Elliott Davis located?

Elliott Davis practices at 9015 N 3rd St, Phoenix, AZ 85020. The listed phone number is (480) 882-4545.

What is Elliott Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elliott Davis enrolled in Medicare?

Yes. Elliott Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elliott Davis was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.