Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1841589736 Deactivated / Inactive NPI Male Practitioner

Dr. Michael William Davis , MD

Orthopaedic Surgery • St Louis Park, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 31, 2011
NPI Deactivation Date November 13, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Davis, MD was a registered Orthopaedic Surgery practicing in St Louis Park, MN. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 5100 GAMBLE DR until profile deactivation on 2025-11-13.

Practice Location & Contact Primary Location

Practice Address

5100 Gamble Dr
Suite 540

St Louis Park, MN 554161521

Telephone 9522376441
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1053466128

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in St Louis Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
17 Specialists

Practicing in St Louis Park, MN (674 Statewide)

Telehealth Adoption Rate
11.8% 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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 14902

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jennifer Eggers , PA

Physician Assistant

NPI 1073589123

Physician Assistant

Dr. Terese Lalomia , DDS

Dentist - General Practice

NPI 1144331257

Doctor of Dental Surgery

Dr. Thomas Kollodge , DDS

Dentist - General Practice

NPI 1710098819

Doctor of Dental Surgery

NPI 1720277627

Doctor of Medicine (M.D.)

Dr. Julie Chavez , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1851364392

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2025

Record deactivated on November 13, 2025

NPI Profile Active March 31, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2011

Registered at 5100 GAMBLE DR, SUITE 540, ST LOUIS PARK, MN 554161521 (Tel: 9522376441)

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Updated Business Mailing Address March 31, 2011

Registered at 5100 GAMBLE DR, SUITE 540, ST LOUIS PARK, MN 554161521 (Tel: 9522376441)

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Provider Name / Credentials Updated March 31, 2011

Recorded as MICHAEL DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2011

Orthopaedic Surgery (License #14902 in MN)

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Initial NPI Registration & Enumeration March 31, 2011

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: 1841589736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2011
Last Update: March 31, 2011
Deactivation Date: November 13, 2025

Mailing Address

5100 Gamble Dr, Suite 540

St Louis Park, MN 554161521

Phone: 9522376441

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.