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MICHAEL QUAID DAVIS DO
NPI 1871346627
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since April 10, 2024PECOS Enrolled
2600 SIXTH ST SW, CANTON, OH 44710(330) 363-3926(330) 363-5380 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Quaid Davis Do NPPES

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

MICHAEL QUAID DAVIS DO (NPI 1871346627) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1871346627
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL QUAID DAVISCredential: DO
Location Address2600 SIXTH ST SWCanton, OH 44710-1702
Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-3926 · Fax (330) 363-5380
Phone(330) 363-3926
Fax(330) 363-5380
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2024
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1871346627 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.
2600 SIXTH ST SW, Canton, OH 44710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1658802533
PECOS Enrollment IDI20260821004340
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pomerene Hospital
32 mi
Critical Access
981 WOOSTER RD
Millersburg, OH 44654
  • Reassigned Medicare billing, Ohio enrollment
  • 103 clinicians in this Medicare group
NPI 1770957185 (330) 674-1584

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHELSEA FLIGHT CNP
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-0000
JAIME MARIE RENNECKER
Nurse Practitioner (Neonatal)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-5433
JARELIZ CALDAS DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
YARA KHOURI M.D.
Internal Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6235
HEATHER BAKER AGACNP
Nurse Practitioner (Acute Care)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
SHELBY WESTHOEFER
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
MR. KEVIN WHITE C.R.N.A.
Nurse Anesthetist, Certified Registered
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-7462
DR. DOUGLAS ALLEN WOOD DO
Emergency Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 456-2695

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 Michael Davis's NPI number?

The NPI number for Michael Davis is 1871346627. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Michael Davis located?

Michael Davis practices at 2600 Sixth St SW, Canton, OH 44710. The listed phone number is (330) 363-3926.

What is Michael 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 Michael Davis enrolled in Medicare?

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

Which organization bills Medicare for Michael Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Davis reassigns Medicare benefits to Pomerene Hospital (Millersburg, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Davis was last updated on April 10, 2024. 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.