Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony James Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265178552

Anthony James Davis is a Physician Assistant in Des Moines, Iowa. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3200 Grand Ave
Des Moines, IA 50312-4104
Phone: (515) 271-1569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14618 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265178552
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address210 Ne Trilein Dr Apt 3, Ankeny, IA 50021-2035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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