LEO WARREN DAVIDSON (NPI# 1235125618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235125618 |
| Entity Type | Individual |
| Full Name | LEO WARREN DAVIDSON |
| Credential | MD |
| Practice Address |
1841 Quiet Cv Fayetteville NC 28304-3985 |
| Mailing Address |
1841 Quiet Cv P O Box 64367 Fayetteville NC 28304-3985 |
| Practice Telephone | 9108296588 |
| Practice Fax Number | 9108296596 |
| Mailing Telephone | 9103232626 |
| Mailing Fax Number | 9108296596 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35312 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 27271 | 01 |
| NC | 8927271 | 05 | |
| NC | MEDICARE RAIL ROAD | 020031637 | 01 |
| NC | MED COST | 47806 | 01 |
| NC | UNITED HEALTH CARE | 1738882 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467743732 | Leo Davidson | Podiatrist | 667 Eagle Rock Ave, West Orange, NJ 07052-2177 | 2011-04-21 |
| Street Address |
1841 QUIET CV |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226309 | Michael Steven Bryant | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-06-22 |
| 1366957615 | Cumberland County Hospital System Inc | Specialist | 1841 Quiet Cv, Fayetteville, NC 28304-3985 | 2017-12-08 |
| 1164714390 | Sara Beloglavec Chaffee | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3985 | 2011-05-05 |
| 1063542736 | Marsha Criscio Nelson | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3985 | 2007-03-06 |
| 1215075171 | Elizabeth Marie Sawyer | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3985 | 2007-02-02 |
| 1538213137 | Phillip Martin Hanson | Physician Assistant | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2007-01-22 |
| 1891759437 | Village Surgical Associates Pa | Specialist | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2006-04-12 |
| 1205825155 | James Mcneil Thomas | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-10-13 |
| 1760479448 | Joel I Horowitz | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-09-29 |
| 1881689453 | James Anthony Classen | Surgery | 1841 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 1275844177 | Yana Mikhaylov | Surgery | 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 | 2010-06-24 |
| 1043541725 | Janine Nicole Pettiford | Surgery | 325 North Jeff Davis Dr, Fayetteville, GA 30214 | 2010-01-20 |
| 1548410103 | Erin M King | Surgery | 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 | 2008-09-19 |
| 1881851699 | Timothee J Friesen | Surgery | 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 | 2008-05-20 |
| 1790954352 | Obinna Chukwudi Igwilo | Surgery | 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162 | 2008-02-27 |
| 1942387055 | Steven Anthony Battaglia | Surgery | 1061 Brunswick Dr, Fayetteville, OH 45118 | 2006-11-01 |
| 1225118441 | David Crump | Surgery | 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 | 2006-10-16 |
| 1265544035 | Yong S Kwon | Surgery | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2006-08-31 |
| 1346261989 | Rudy Theodore Cobb | Surgery | 305 College St W, Fayetteville, TN 37334-2911 | 2006-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.