Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437714375 Individual Practitioner Male Practitioner

Justin Davis

Surgery - Plastic and Reconstructive Surgery • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Justin Davis is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Springfield, IL. Practice services are available at 747 N RUTLEDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St

Springfield, IL 627026700

Telephone 2175456112
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Springfield, IL (138 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-27
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 125.077838

A surgeon who specializes in plastic and reconstructive surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1043988306

Doctor of Medicine (M.D.), MSCR

Dr. Katie Mcglone , MD

Plastic Surgery

NPI 1053044511

Doctor of Medicine (M.D.)

NPI 1174016950

Doctor of Medicine (M.D.)

NPI 1376151258

Doctor of Medicine (M.D.)

NPI 1437882032

Doctor of Medicine (M.D.), Master of Public Health

Dr. Justyn Lutfy , MD CM, FRCS(C)

Surgery - Surgery of the Hand

NPI 1629452073

MDCM, FRCS(C)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 27, 2021

Registered at 747 N RUTLEDGE ST, SPRINGFIELD, IL 627026700 (Tel: 2175456112)

📍
Updated Business Mailing Address June 27, 2021

Registered at PO BOX 19653, SPRINGFIELD, IL 627949653 (Tel: 2175452588)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2021

Surgery (License #125.077838 in IL)

📍
Updated Practice Location May 06, 2020

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

📍
Updated Business Mailing Address May 06, 2020

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

NPI Profile Active May 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2019

Registered at 620 CALLI CT, IRVING, TX 750602275 (Tel: 9723023222)

📍
Updated Business Mailing Address May 06, 2019

Registered at 620 CALLI CT, IRVING, TX 750602275

👤
Provider Name / Credentials Updated May 06, 2019

Recorded as JUSTIN DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 06, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437714375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2019
Last Update: June 27, 2021
Sole Proprietor: No

Mailing Address

Po Box 19653

Springfield, IL 627949653

Phone: 2175452588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.