DR. CHARLES ODELL DAVIDSON


Address: 2200 Grant St, Gary, IN 46404-3439
Phone: 2199447565

DR. CHARLES ODELL DAVIDSON (NPI# 1649371568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649371568
Entity Type Individual
Full Name DR. CHARLES ODELL DAVIDSON
Credential M,D.
Practice Address 2200 Grant St
Gary
IN 46404-3439
Mailing Address 830 Killarney Dr
Dyer
IN 46311-3702
Practice Telephone 2199447565
Mailing Telephone 2198640959
Mailing Fax Number 2198640960
Enumeration Date 2006-09-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 204C00000X Neuromusculoskeletal Medicine, Sports Medicine 01021856A IN Allopathic & Osteopathic Physicians
X 204D00000X Neuromusculoskeletal Medicine & OMM 01021856A IN Allopathic & Osteopathic Physicians

Other Providers CHARLES DAVIDSON

NPI Name Taxonomy Address Enumeration
1023423936 Charles Davidson Community Health Worker 8001 Allison Dr Se, Huntsville, AL 35802-4019 2014-06-30
1386936441 Charles Jay Davidson Chiropractor 2108 Drake Ln, Hercules, CA 94547-5464 2011-05-09
1891985438 Charles S Davidson Rehabilitation Practitioner 1930 Royal Dr, Conway, AR 72034-7346 2007-07-30
1356458525 Charles Gerald Davidson Jr. Dentist 200 N Jackson St, Athens, TN 37303-3640 2006-08-24
1588658645 Charles Stephen Davidson Emergency Medicine 5200 N Croatan Hwy, Kitty Hawk, NC 27949-3990 2005-09-06
1245839000 Charles Jordan Davidson Optometrist 535 Wellington Way Ste 160, Lexington, KY 40503-1387 2020-10-22
1306154885 Charles Andrew Davidson Psychologist 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 2010-09-19
1992012652 Charles A Davidson Marriage & Family Therapist 7801 Academy Rd Ne, Bldg 2 Suite 200, Albuquerque, NM 87109-3379 2010-09-01
1457425902 Charles D Davidson Family Medicine 1210 W Main St, Walnut Ridge, AR 72476-1005 2006-11-17
1922062413 Charles Davidson Internal Medicine 675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975 2006-04-13

Office Location

Street Address 2200 GRANT ST
City GARY
State IN
Zip Code 46404-3439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265437818 Northlake International Medical Laboratory Clinical Medical Laboratory 2200 Grant St, Ste 201, Gary, IN 46404-3439 2005-06-19
1346587771 Odies H. Williams, IIi, M. D., P. C. Family Medicine 2200 Grant St, Suite 101, Gary, IN 46404-3439 2013-01-04
1649530056 New Town Obstetrics & Gynecology LLC Obstetrics & Gynecology 2200 Grant St, Gary, IN 46404-3439 2012-05-18
1952674129 New Town Obstetrics & Gynecology, Inc. Obstetrics & Gynecology 2200 Grant St, Ste 207, Gary, IN 46404-3439 2012-02-17
1023243029 Robyn L Pugh-dunlap Counselor 2200 Grant St, Suite 204, Gary, IN 46404-3439 2009-05-19
1104077627 Veronica Lynn Collins Case Manager/Care Coordinator 2200 Grant St, Suite 204, Gary, IN 46404-3439 2008-10-02
1083894976 Godwin C. Uwidia, M.d., P.C. Surgery 2200 Grant St, Suite 206, Gary, IN 46404-3439 2007-11-07
1659415214 Gary Health Department Dentist 2200 Grant St, Suite 204, Gary, IN 46404-3439 2007-02-16
1710046107 Awakened Alternatives Inc Home Health 2200 Grant St, Ste 102, Gary, IN 46404-3439 2006-12-08
1699844886 Anthony O Iwuagwu Obstetrics & Gynecology 2200 Grant St, Ste 207, Gary, IN 46404-3439 2006-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447672431 Night Owl Inc. Home Care In Home Supportive Care 2209 Marshall St., Gary, IN 46404 2014-01-10
1881974608 Verlilia Ann Pettigrew Community Health Worker 2144 Taney Pl, Gary, IN 46404 2011-08-24
1871682161 Bmo Home Health Care Inc Home Health 1970 Grant Street, Gary, IN 46404 2006-10-12
1225064793 Medical Supply Plus Inc Durable Medical Equipment & Medical Supplies 1982 Grant Street, Gary, IN 46404 2006-06-24
1275808065 Suma Suresh Nair Occupational Therapist 2350 Taft Street, Timberview Health Care, Gary, IN 46404 2012-03-13
1093123234 Lynne Marie Clapman Nurse Practitioner 1619 W. 5th Ave, Gary, IN 46404-0789 2014-07-31
1609193770 Sandra A Scott Custodial Care Facility 300 Taft St, Gary, IN 46404-1016 2010-04-28
1760682652 Marion Bernice Miller Registered Nurse 260 Arthur St, Gary, IN 46404-1118 2007-07-19
1932708575 Jasmine Anita Johnson Nurse's Aide 431 Hayes St, Gary, IN 46404-1135 2020-10-24
1700086402 Rosa L Murphy Home Health Aide 324 Mckinley St, Gary, IN 46404-1144 2007-07-20
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Taxonomy Information

Taxonomy Code 204C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316072366 James Michael Moriarity Neuromusculoskeletal Medicine, Sports Medicine 1842 Moreau Drive, Notre Dame, IN 46556 2007-02-22
1376642926 Major Sports and Musculoskeletal Care Neuromusculoskeletal Medicine, Sports Medicine 157 West Washington, Shelbyville, IN 46176 2006-09-21
1720085970 Robert Kenneth Kramer Neuromusculoskeletal Medicine, Sports Medicine 7310 Hazelwood Ave, Indianapolis, IN 46260-3473 2005-07-02
1730671934 Lewis Meyer Young Neuromusculoskeletal Medicine, Sports Medicine 1001 E 17th St, Bloomington, IN 47408-1590 2018-06-04
1053523910 Syed Sohail Neuromusculoskeletal Medicine, Sports Medicine 3411 N Anthony Blvd, Suite 2, Fort Wayne, IN 46805-2233 2007-05-04
1114046455 Prasanth Nuthakki Neuromusculoskeletal Medicine, Sports Medicine 24 Joliet St, Dyer, IN 46311-1705 2007-03-28
1699892299 1st Choice Medical Group, LLC Neuromusculoskeletal Medicine, Sports Medicine 2441 State St Ste 10, New Albany, IN 47150-4962 2007-03-26
1598882383 Thomas L Sevier Neuromusculoskeletal Medicine, Sports Medicine 400 N High St, Suite 320, Muncie, IN 47305-1646 2007-03-25
1366571440 Family Physicians of Carmel Inc Neuromusculoskeletal Medicine, Sports Medicine 310 Medical Dr, Carmel, IN 46032-2926 2007-03-05
1255436648 Warsaw Health System, LLC Neuromusculoskeletal Medicine, Sports Medicine 3505 Lake City Hwy, Warsaw, IN 46580-3942 2006-09-13
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Competitor

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City GARY
Zip Code 46404

Improve Information

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Dataset Information

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.

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