CRAIG J DAVIDSON (NPI# 1063418838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063418838 |
| Entity Type | Individual |
| Full Name | CRAIG J DAVIDSON |
| Credential | M.D. |
| Practice Address |
1232 University of Oregon Eugene OR 97403-1232 |
| Practice Telephone | 5413460565 |
| Practice Fax Number | 5413462748 |
| Mailing Telephone | 5413460565 |
| Mailing Fax Number | 5413462748 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
M D28275 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 279253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336698471 | Craig L Davidson | Clinic/Center | 13001 County Road 10, Plymouth, MN 55442-1124 | 2016-09-30 |
| Street Address |
1232 UNIVERSITY OF OREGON |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770037897 | University of Oregon | Health Educator | 1232 University of Oregon, Eugene, OR 97403-1205 | 2016-08-05 |
| 1467823625 | Julie Dewsnup | Pharmacist | 1232 University of Oregon, Eugene, OR 97403-1205 | 2015-10-14 |
| 1871850743 | Oregon University System | Clinic/Center | 1232 University of Oregon, Eugene, OR 97403-1205 | 2012-04-17 |
| 1760711279 | Karen Gerre Woodson | Nurse Practitioner | 1232 University of Oregon, University Health Center, Eugene, OR 97403-1205 | 2009-12-11 |
| 1437482858 | Rebecca Hagerwaite | Nurse Practitioner | 1232 University of Oregon, Eugene, OR 97403-1205 | 2009-09-16 |
| 1467603373 | Mary Blair Allison-smith | Internal Medicine | 1232 University of Oregon, Eugene, OR 97403-1205 | 2008-10-09 |
| 1447457627 | Shannon L Millington | Physical Therapist | 1232 University of Oregon, Eugene, OR 97403-1205 | 2007-06-29 |
| 1104036425 | Caren Amy Golian | Counselor | 1232 University of Oregon, Eugene, OR 97403 | 2007-05-23 |
| 1326258419 | Karen Horner Dyste | Specialist/Technologist | 1232 University of Oregon, Sports Medicine Clinic, Eugene, OR 97403-1205 | 2007-05-23 |
| 1619194776 | Colleen Ann Jones | Nurse Practitioner | 1232 University of Oregon, Eugene, OR 97403-1205 | 2007-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477667053 | M Joshua Haber | Family Medicine | 2401 River Rd Ste 101, Eugene, OR 97404-5412 | 2006-08-19 |
| 1962470948 | Gregory C Skaggs | Family Medicine | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2006-03-08 |
| 1437660768 | Icco, LLC | Family Medicine | 598 E 13th Ave, Eugene, OR 97401-4783 | 2017-10-13 |
| 1912129610 | Robert V Crist | Family Medicine | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2007-05-03 |
| 1437273174 | Denise Diane Routhier | Family Medicine | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-03-19 |
| 1609900893 | Lisa M Pomranky | Family Medicine | 55 Coburg Rd, Slocum Orthopedics PC, Eugene, OR 97401-2433 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003085630 | Peter Shelby Bogard Do | Family Medicine | 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527-5788 | 2008-02-28 |
| 1801079074 | Jennifer Dawn Kleinman | Family Medicine | 5704 N Montana Ave, Portland, OR 97217-4643 | 2007-12-11 |
| 1760431175 | Karl Nicholas Kaluza | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-05-10 |
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1356305023 | David N Westerdahl | Family Medicine | 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 | 2006-04-12 |
| 1538138276 | Sekou Carlos Ford | Family Medicine | 18610 Nw Cornell Rd Ste 101, Hillsboro, OR 97124-9206 | 2006-03-15 |
| 1831165232 | Linda Craska Selby | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2006-02-24 |
| 1811967235 | Charles W Webb | Family Medicine | 1960 Nw 167th Pl Ste 200, Beaverton, OR 97006-4804 | 2006-01-26 |
| 1659374528 | Peter Bogard | Family Medicine | 700 Ramsey Ave, Ste 104, Grants Pass, OR 97527-5788 | 2005-05-24 |
| 1346863727 | Sports Health Northwest Inc | Family Medicine | 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 | 2020-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.