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Deactivated NPI 1548206873 Deactivated / Inactive NPI Male Practitioner

Dr. John Tucker Davis , MD

Pediatrics • Highland, UT

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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. John Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2006
NPI Deactivation Date September 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Davis, MD was a registered Pediatrics practicing in Highland, UT. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 11578 N SUNSET HILLS DR until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

11578 N Sunset Hills Dr

Highland, UT 840033750

Telephone 8015184596
Fax 8018381772

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Highland, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Highland, UT (688 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 500616-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

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Updated Practice Location April 06, 2018

Registered at JORDAN VALLEY PEDIATRICS, 1561 WEST 7000 SOUTH, SUITE 202, WEST JORDAN, UT 84084 (Tel: 8015698344)

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Updated Business Mailing Address April 06, 2018

Registered at 1874 E VISTA RIDGE CT, DRAPER, UT 840205555 (Tel: 8015184596)

NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2016

Registered at 11578 N SUNSET HILLS DR, HIGHLAND, UT 840033750 (Tel: 8015184596)

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Updated Business Mailing Address April 22, 2016

Registered at 11578 N SUNSET HILLS DR, HIGHLAND, UT 840033750 (Tel: 8015184596)

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Provider Name / Credentials Updated April 22, 2016

Recorded as JOHN DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Pediatrics (License #500616-1205 in UT)

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Initial NPI Registration & Enumeration June 22, 2006

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: 1548206873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: April 22, 2016
Deactivation Date: September 08, 2020

Mailing Address

11578 N Sunset Hills Dr

Highland, UT 840033750

Phone: 8015184596

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.