Provider Demographics
NPI:1457617888
Name:DAVIS, ANNE CASHMORE (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CASHMORE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:DESK A81
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-5335
Mailing Address - Fax:216-636-1296
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK A81
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-5335
Practice Address - Fax:216-636-1296
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT201960207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD453010OtherPENNSYLVANIA
PAMT201960OtherMEDICAL TRAINING LICENSE