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Active NPI 1073772513 Individual Practitioner Female Practitioner

Mary Ruth Davis , LPN

Licensed Practical Nurse • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Mary Davis, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Buffalo, NY. Practice services are available at 207 SARANAC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Saranac Ave

Buffalo, NY 142161931

Telephone 7168742155

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
636 Specialists

Practicing in Buffalo, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 2789621

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02769657 (NY)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2008

Registered at 207 SARANAC AVE, BUFFALO, NY 142161931 (Tel: 7168742155)

📍
Updated Business Mailing Address June 09, 2008

Registered at 207 SARANAC AVE, BUFFALO, NY 142161931 (Tel: 7168742155)

👤
Provider Name / Credentials Updated June 09, 2008

Recorded as MARY DAVIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Licensed Practical Nurse (License #2789621 in NY)

🟢
Initial NPI Registration & Enumeration June 09, 2008

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: 1073772513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: June 09, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

207 Saranac Ave

Buffalo, NY 142161931

Phone: 7168742155

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.