MATTHEW JOHN DAVIS M.D.
NPI 1457738114
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since May 01, 2015PECOS Enrolled
219 BRYANT ST, BUFFALO, NY 14222(716) 878-7432 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew John Davis M.d. NPPES

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

MATTHEW JOHN DAVIS M.D. (NPI 1457738114) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457738114
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW JOHN DAVISCredential: M.D.
Location Address219 BRYANT STBuffalo, NY 14222-2006
Mailing Address219 Bryant StBuffalo, NY 14222-2006 · (716) 878-7432
Sole ProprietorNo
Enumeration DateMay 1, 2015
NPI 1457738114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

219 BRYANT ST, Buffalo, NY 14222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew John Davis M.d. 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.

Dentist (Endodontics)
219 BRYANT ST
BUFFALO, NY 14222
Otolaryngology (Pediatric Otolaryngology)
219 BRYANT ST
BUFFALO, NY 14222
Nurse Practitioner (Family)
219 BRYANT ST
BUFFALO, NY 14222
Psychologist (Clinical)
219 BRYANT ST, BUFFALO
BUFFALO, NY 14222
Obstetrics & Gynecology (Maternal & Fetal Medicine)
219 BRYANT ST
BUFFALO, NY 14222
Nurse Practitioner (Pediatrics)
219 BRYANT ST
BUFFALO, NY 14222
Radiology (Pediatric Radiology)
219 BRYANT ST
BUFFALO, NY 14222
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
219 BRYANT ST
BUFFALO, NY 14222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457738114, enumerated as an "individual" on May 01, 2015.

The provider is located at 219 BRYANT ST BUFFALO, NY 14222 and the phone number is (716) 878-7432.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.