DR. THOMAS JOHN DAVIDSON IV (NPI# 1295171858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295171858 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOHN DAVIDSON IV |
| Credential | DPM |
| Practice Address |
1331 Hamilton Ter Se Roanoke VA 24014-1805 |
| Practice Telephone | 2517474401 |
| Mailing Telephone | 2517474401 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC006438 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568553857 | Thomas Michael Davidson | Dentist | 58047 Van Dyke Rd, Suite# 101, Washington, MI 48094-4000 | 2006-09-28 |
| 1780795062 | Thomas Lawson Davidson Jr. | Dentist | 300 North Jefferson Street, Milledgeville, GA 31061 | 2006-08-31 |
| 1942319819 | Thomas John Davidson IIi | Family Medicine | 200 Office Park Drive, Gulf Shores, AL 36542-3432 | 2006-08-30 |
| 1275195471 | Thomas Davidson | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1003382409 | Thomas C Davidson | Counselor | 120 S 3rd St, Yakima, WA 98901-2875 | 2018-10-23 |
| 1124247747 | Thomas Harold Davidson | Dentist | 202 Maple St, Ashland, OH 44805-3212 | 2007-04-24 |
| 1720114986 | Thomas Bradford Davidson | Clinical Neuropsychologist | 8000 E Prentice Ave, Suite B-4, Greenwood Village, CO 80111-2744 | 2007-02-24 |
| 1336141548 | Thomas W Davidson | Family Medicine | 8600 University Blvd, Rm Hp0091, Evansville, IN 47712-3534 | 2005-06-01 |
| Street Address |
1331 HAMILTON TER SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184695249 | Marc A. Platt | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598281 | James H Chung | Podiatrist | 2826 Old Lee Hwy Ste 220, Fairfax, VA 22031-4348 | 2017-06-15 |
| 1750730628 | Podiatry Home Care LLC | Podiatrist | 1567 Aspin Ave, Suite B, Norfolk, VA 23502-1532 | 2016-06-10 |
| 1922405174 | Hampton Roads Foot & Ankle Clinic | Podiatrist | 17 Moore Rd, Poquoson, VA 23662-1105 | 2014-12-02 |
| 1881955243 | Foothold Podiatry | Podiatrist | 1417 Claiborne St, Richmond, VA 23220-6431 | 2012-06-01 |
| 1356497622 | Benedict A Profera | Podiatrist | 1589 Innsbrooke Dr, Salem, VA 24153-1785 | 2007-01-26 |
| 1922170919 | Foot Care of Hampton Roadspc | Podiatrist | 4317 Ainslie Ct S, Suffolk, VA 23434-7007 | 2006-11-14 |
| 1104997600 | David Elwood Detwiler | Podiatrist | 1232 Ty Bluff Road, Forest, VA 24551-1851 | 2006-11-13 |
| 1689776114 | Rodney A Kander | Podiatrist | 14200 Milltown Rd, Lovettsville, VA 20180-3314 | 2006-09-04 |
| 1255343083 | John G Piacenti | Podiatrist | 1416 Shenandoah Pkwy, Chesapeake, VA 23320-8137 | 2006-08-12 |
| 1447260823 | Audrey Delores Arthur | Podiatrist | 308 Horace Ave, Virginia Beach, VA 23462-2704 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.