Physician Compare National (NPI:1023254190)

HEALTHCARE PROVIDER: DON KENT DAVIS JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1023254190
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193949675
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150818003471
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVIS
	Individual professional last name
Provider First Name	DON
	Individual professional first name
Provider Middle Name	KENT
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	135 W DIMOND BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	ANCHORAGE
	Group Practice or individual's city
State	AK
	Group Practice or individual's state
Zip Code	995151907
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9075633911
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	020001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE ALASKA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M