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

Individual provider Physician Assistant · NPI 1134400385

Mr. Jason Orrin Davis, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with New Dermatology Group Ltd, a 23-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2011
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

2021 S Webster Ave
Green Bay, WI 54301-2257
Phone: (920) 965-0345
Fax: (920) 273-6011
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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 3057-023 (WI)

Record details

NPI number1134400385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESNovember 24, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice New Dermatology Group Ltd — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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