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

Gina Doloresco Davis, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669865861

Gina Doloresco Davis, DO is a General Surgery in Saint Louis, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2015, 11 years ago. Practices with Mercy Clinic Trauma and General Surgery LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

621 S New Ballas Rd Ste 560A
Saint Louis, MO 63141-8261
Phone: (314) 251-6440
Fax: (314) 251-4456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2020011640 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2020011640 (MO)

Record details

NPI number1669865861
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2015 (11 years in practice)
Group practice Mercy Clinic Trauma And General Surgery Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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