Patrick Davis Pa-C Ltd
NPI 1366702797ActiveOrganization· Physician Assistant, Surgical· Boulder City, NV
Physician Assistant, Surgical in Boulder City, Nevada, registered in NPPES in May 2012. The authorized official on file is Patrick Davis, PAC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366702797 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2012 |
| Last updated in NPPES | Oct 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA823 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|