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).
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 |
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 |
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 |
Street Address |
2200 GRANT ST |
City | GARY |
State | IN |
Zip Code | 46404-3439 |
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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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 |
Find all providers in zip 46404 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
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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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.