Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellana Davidov, PA-C

Individual provider Physician Assistant · NPI 1538614672

Ellana Davidov, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Forward Care Family Practice, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone: (480) 677-8282
Fax: (480) 535-0962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6922 W Carter Rd, Laveen, AZ 85339-7053 — (602) 373-8968

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AZ)

Record details

NPI number1538614672
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 18, 2016
Last updated in NPPESJune 24, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forward Care Family Practice, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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