Active NPIIndividual provider

Peter A Davis, PA-C

Physician Assistant in Groton, Connecticut

NPI Number1134302334
Practice location
75 Eastern Point RD, Bldg 97, Yard Hospital, Groton, CT 06340-4905
Fax
860-433-7802
Last updated
December 11, 2007

Peter Arnold Davis is a Physician Assistant based in Groton, CT. Peter Arnold Davis practices in Groton, CT and has the professional credentials of PA-C. The NPI Number for Peter Arnold Davis is 1134302334 and holds a License No. 000200 (CT). The current practice location address for Peter Arnold Davis is 75 Eastern Point RD, Bldg 97, Yard Hospital, Groton, CT 06340-4905 and can be reached out via phone at 860-433-2070 and via fax at 860-433-7802.

Provider Profile Details

NPI Number
1134302334
Provider Name
Peter Arnold Davis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
75 Eastern Point RD, Bldg 97, Yard Hospital, Groton, CT 06340-4905
Phone Number
860-433-2070
Fax Number
860-433-7802
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2007
Last Update Date
December 11, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Eastern Point RD
Bldg 97, Yard Hospital
Groton, CT 06340-4905
City
Groton
Zip
06340-4905
Phone Number
860-433-2070
Fax Number
860-433-7802
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
75 Eastern Point RD
Bldg 97, Yard Hospital
Groton, CT 06340-4905
City
Groton
State
CT
Zip
06340-4905
Phone Number
860-433-2070
Fax Number
860-433-7802

License Information

License Number (1)
000200
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA00318
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter A Davis, PA-C?

The NPI number of Peter A Davis, PA-C is 1134302334. It was assigned on December 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Peter A Davis, PA-C?

Peter A Davis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000200.

Where does Peter A Davis, PA-C practice?

The practice location is 75 Eastern Point RD, Bldg 97, Yard Hospital, Groton, CT 06340-4905. The office can be reached at 860-433-2070 (phone) or 860-433-7802 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134302334 directly on the NPPES registry website.

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