WARREN K. DAVIDSON (NPI# 1790948164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790948164 |
| Entity Type | Individual |
| Full Name | WARREN K. DAVIDSON |
| Credential | D.O. |
| Practice Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Mailing Address |
21 Cameron Dr Ponte Vedra FL 32081-8303 |
| Practice Telephone | 9042029000 |
| Mailing Telephone | 3308618996 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
OS12714 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
34010306 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0057305 | 05 |
| Street Address |
800 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913854 | Annette Davidson Bell | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2005-06-27 |
| 1508467523 | Heather Smith | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-11-05 |
| 1306446638 | Jessica Schilz | Dietitian, Registered | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-10-27 |
| 1033718747 | Kiara Michelle Simmons | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-22 |
| 1477151488 | Nicole Schumaker | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-12 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1578179453 | Emily Guan Duani | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-16 |
| 1487264636 | Heidi Marie Rebholz | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-08-03 |
| 1326657982 | Everrenz Health, Inc | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-29 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407048317 | Dhaval Bhupendra Patel | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2007-08-14 |
| 1881618882 | Andrew H Sauer | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-07-26 |
| 1467473496 | Suman Mayer | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-07-23 |
| 1548281587 | Anthony P Pohlgeers | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-07-23 |
| 1699794347 | Mark A Horton | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-07-19 |
| 1720006828 | Carissa J Kostecki | Pediatrics | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1669475349 | Pompano Er Pediatrics LLC | Pediatrics | 201 E Sample Rd, Pompano Er Pediatrics, Pompano Beach, FL 33064-3502 | 2005-05-24 |
| 1700351863 | Kidz Medical Srv | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-04 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.