Dale Braxton Davis , PA
Physician Assistant • Omaha, NE
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, Dale Davis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dale Davis, PA was a registered Physician Assistant practicing in Omaha, NE. Throughout an active medical career spanning 13 years, Dale Davis provided care at the practice location at 4101 WOOLWORTH AVE until profile deactivation on 2019-06-26.
Practice Location & Contact Primary Location
4101 Woolworth Ave
Omaha, NE 681051850
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Omaha, NE
Practicing in Omaha, NE (1366 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dietitian, Registered
Registered Dietitian
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Registered Nurse - Gastroenterology
Registered Nurse - Urology
Registered Nurse
Social Worker - Clinical
Licensed Clinical Social Worker, LMHP
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 26, 2019
NPI status registered as active in NPPES database
Registered at 4101 WOOLWORTH AVE, OMAHA, NE 681051850 (Tel: 4023468800)
Registered at 10526 FORREST DR, OMAHA, NE 681241030 (Tel: 4023972373)
Recorded as DALE DAVIS, PA
Physician Assistant (License #1259 in NE)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
10526 Forrest Dr
Omaha, NE 681241030
Phone: 4023972373
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