Physician Compare National (NPI:1225318439)

HEALTHCARE PROVIDER: CARRIE LYNN DAVIS 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	1225318439
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274893953
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180130000166
	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	CARRIE
	Individual professional first name
Provider Middle Name	LYNN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8575 E PRINCESS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A 111
	Group Practice or individual's line 2 address
City	SCOTTSDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852555483
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4805086461
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y