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KEYSHAWN DAVIS MD
NPI 1508704495
Student in an Organized Health Care Education/Training Program in Perrysburg, OH

Active since March 23, 2026PECOS Enrolled
7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551(419) 873-6836 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keyshawn Davis Md NPPES

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

KEYSHAWN DAVIS MD (NPI 1508704495) is an individual student in an organized health care education/training program in Perrysburg, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508704495
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEYSHAWN DAVISCredential: MD
Location Address7045 LIGHTHOUSE WAYPerrysburg, OH 43551-7000
Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-3232
Phone(419) 873-6836
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1508704495 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.
7045 LIGHTHOUSE WAY, Perrysburg, OH 43551
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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)

Keyshawn Davis Md 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.

GREGORY SMITH
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
MICHELLE MARIE O'BRIEN PHARMD
Pharmacist
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
DAVID NGUYEN HO DO
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6838
DANIEL KIELMINSKI
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
DR. BRANDON HORN MD
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
ANNA L NELSON MD
Family Medicine
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
DR. SARAH PELTON MD
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836
SYED HUSSAINI MD
Student in an Organized Health Care Education/Training Program
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 43551
Wood County (419) 873-6836

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 Keyshawn Davis's NPI number?

The NPI number for Keyshawn Davis is 1508704495. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Keyshawn Davis located?

Keyshawn Davis practices at 7045 Lighthouse Way, Perrysburg, OH 43551. The listed phone number is (419) 873-6836.

What is Keyshawn 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 Keyshawn Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keyshawn Davis was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.