CHRISTINE LYNN DAVIS PA
NPI 1679826812
Physician Assistant in Mequon, WI

Q: What is Christine Davis's NPI number?

The NPI number for Christine Davis is 1679826812. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Q: What is Christine Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Christine Davis was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 25, 2012

12203 CORPORATE PKWY, MEQUON, WI 53092(262) 387-8200(262) 387-8239 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 18, 2023, Nov 30, 2022, Nov 9, 2022 and 4 more (7 updates tracked since 2017).

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About Christine Lynn Davis Pa NPPES

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

CHRISTINE LYNN DAVIS PA (NPI 1679826812) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (2977-023) and active in the NPI registry since October 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679826812

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCHRISTINE LYNN DAVISCredential: PA

Location Address12203 CORPORATE PKWYMequon, WI 53092-3388

Mailing Address12203 Corporate PkwyMequon, WI 53092-3388 · (262) 387-8200 · Fax (262) 387-8239

Phone(262) 387-8200

Fax(262) 387-8239

Sole ProprietorNo

Enumeration DateOctober 25, 2012

Last NPPES UpdateOctober 18, 20237 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1679826812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 2977-023

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2977-23 (WI)

12203 CORPORATE PKWY, Mequon, WI 53092

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Secondary Practice Locations 2

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-4600 ext. 43886 · Fax (414) 805-0880

Location 25000 W National AveMilwaukee, WI 53295-3522 · Phone (414) 384-2000 ext. 46723 · Fax (414) 805-0880

Other Identifiers 2

Medicaid100071900WI

Medicaid1679826812WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners.Insurance ›

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.

MARYAM K DOYLE MD SC

Anesthesiology