MICHAEL JAMES DAVIDSON (NPI# 1740240902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740240902 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES DAVIDSON |
| Credential | D.O. |
| Practice Address |
1090 N Ellington Pkwy Suite 102 Lewisburg TN 37091-2227 |
| Mailing Address |
854 W James Campbell Blvd Suite 303 Columbia TN 38401-4659 |
| Practice Telephone | 9133590019 |
| Practice Fax Number | 9313597381 |
| Mailing Telephone | 9313590019 |
| Mailing Fax Number | 9313597381 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO781 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3710089 | 05 | |
| TN | BLUE CROSS NUMBER | 3130078 | 01 |
| TN | 3302360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982977047 | Michael Jay Davidson | Internal Medicine | 5581 Coach House Circle, #a, Boca Raton, FL 33486-8676 | 2012-02-20 |
| 1790927705 | Michael W Davidson | Psychologist | 154 Timber Creek Dr Ste 4, Cordova, TN 38018-4252 | 2009-04-06 |
| 1255480018 | Michael Davidson | Physician Assistant | Cmr 411 Box 2211, Apo, AE 09112 | 2007-01-10 |
| 1235176009 | Michael J Davidson | Dentist | 4770 Sunrise Hwy, Suite 102, Massapequa Park, NY 11762-2911 | 2006-06-01 |
| 1528697786 | Michael Thomas Davidson | Student in an Organized Health Care Education/Training Program | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-04-08 |
| 1851921928 | Michael Davidson | Nurse Practitioner | 5414 Town N Country Blvd, Tampa, FL 33615-4120 | 2020-01-17 |
| 1912541566 | Michael Davidson | Social Worker | 1104 Main St Ste M110, Vancouver, WA 98660-2980 | 2019-11-06 |
| 1003459090 | Michael D Davidson | Counselor | 201 E Lincoln Ave Ste 100, Yakima, WA 98901-2348 | 2019-10-22 |
| 1497231963 | Michael Davidson | Dentist | 9365 Olde 8 Rd, Northfield, OH 44067-2052 | 2018-07-17 |
| 1083009203 | Michael Davidson | Dentist | 19 Legion Dr, Bergenfield, NJ 07621-2314 | 2015-04-03 |
| Street Address |
1090 N ELLINGTON PKWY SUITE 102 |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173630 | Jamie M Davis | Physical Therapist | 1090 N Ellington Pkwy, Suite 205, Lewisburg, TN 37091-2227 | 2006-02-17 |
| 1528542784 | Margaret Kimberly Murdock | Nurse Practitioner | 1090 N Ellington Pkwy, Lewisburg, TN 37091-2227 | 2018-09-23 |
| 1811441421 | Brittany Rock | Physical Therapist | 1090 N Ellington Pkwy, Suite 205, Lewisburg, TN 37091-2227 | 2016-08-11 |
| 1679937783 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 201, Lewisburg, TN 37091-2227 | 2016-04-06 |
| 1578921763 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 2016-02-03 |
| 1720348279 | Andrea Craig Roberson | Specialist/Technologist | 1090 N Ellington Pkwy, Ste 205, Lewisburg, TN 37091-2227 | 2012-05-17 |
| 1538438031 | Pioneer Health Services, Inc. | Psychiatry & Neurology | 1090 N Ellington Pkwy, Lewisburg, TN 37091-2227 | 2011-12-29 |
| 1982829297 | Kanthi Charan Narra | Family Medicine | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 2007-04-13 |
| 1861519100 | Amelia E. Haselden | Physical Therapist | 1090 N Ellington Pkwy, Suite 205, Lewisburg, TN 37091-2227 | 2007-03-23 |
| 1881739787 | Kimberly Eastland Hill | Physical Therapist | 1090 N Ellington Pkwy, Lewisburg, TN 37091-2227 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| Find all providers in zip 37091 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1679728471 | Nathaniel Harris | Family Medicine | Chestnut Flats Rd, Box 1042, Lewisburg, WV 24901-4042 | 2008-11-20 |
| 1023294600 | Colleen Ann Flaherty | Family Medicine | 4 Snake Road, Bucknell University Ziegler Student Health Center, Lewisburg, PA 17837 | 2008-01-14 |
| 1497944607 | Charles S. Mcclung Sr., Do | Family Medicine | 226 Skylar Dr, Lewisburg, WV 24901-9383 | 2007-10-24 |
| 1154416725 | Kendall L Wilson Jr. | Family Medicine | 409 North Lee Street, Lewisburg, WV 24901-0626 | 2006-10-03 |
| 1942210513 | Jeanne Marie Wahl | Family Medicine | 400 North Jefferson Street, Lewisburg, WV 24901 | 2006-08-08 |
| 1447279807 | John Lawrence Ginsburg | Family Medicine | 55 N 5th St, Lewisburg, PA 17837-1407 | 2006-07-18 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1780609701 | Suzanne Greb | Family Medicine | 7095 Westbranch Highway, Suite 1100, Lewisburg, PA 17837-6808 | 2006-07-12 |
| Find all providers in LEWISBURG | ||||
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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.