DR. JESSE THORNHILL DAVIDSON III (NPI# 1801891791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801891791 |
| Entity Type | Individual |
| Full Name | DR. JESSE THORNHILL DAVIDSON III |
| Credential | M.D. |
| Practice Address |
1234 Franklin Rd Sw Roanoke VA 24016-4606 |
| Practice Telephone | 5402836071 |
| Practice Fax Number | 5402836098 |
| Mailing Telephone | 5403451561 |
| Mailing Fax Number | 5403452112 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101034302 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007311141 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881009835 | Jesse Thornhill Davidson Iv | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-06-29 |
| 1740336346 | Jesse Davidson | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| Street Address |
1234 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142132 | Geoffrey Thomas Harter | Specialist | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2005-05-24 |
| 1275040305 | Savannah E Wright | Physician Assistant | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2018-01-10 |
| 1932497674 | Elizabeth L Saum | Nurse Practitioner | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2011-07-15 |
| 1811128366 | Colin Brandt | Surgery | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2009-07-31 |
| 1992951081 | Kimberly F Lower | Audiologist-Hearing Aid Fitter | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2008-08-08 |
| 1669638615 | Thomas Dodd Conlee | Surgery | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2008-07-30 |
| 1861609091 | Molly Stewart Rutherford | Internal Medicine | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2007-05-17 |
| 1447286810 | Jefferson Surgical Clinic Inc | Specialist | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2006-06-25 |
| 1144212705 | David P Minichan Jr. | Specialist | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2005-08-19 |
| 1114919776 | Rodney J Poffenberger | Specialist | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2005-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682319 | Diana Alejandra Rojas | Specialist | 509 E Byron Nelson Blvd Ste C, Roanoke, TX 76262-6183 | 2020-02-28 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| 1033681036 | Stacey Caputo | Specialist | 2149 Electric Rd Ste 3, Roanoke, VA 24018-1975 | 2019-01-02 |
| 1326468646 | Kimberly Covell Mcinnis | Specialist | 5649 Meadowcrest St, Roanoke, VA 24019-4833 | 2014-04-25 |
| 1407192735 | Virginia Interventional Pain & Spine Center, Inc. | Specialist | 3800 Electric Rd Ste 307, Roanoke, VA 24018-4568 | 2012-12-13 |
| 1699952424 | Chrissy Lee Mcconnaughy | Specialist | 1809 Sheffield Rd Sw, Roanoke, VA 24015-3021 | 2008-01-23 |
| 1497957419 | Gill Memorial Ent Clinic, PC | Specialist | 707 S Jefferson St Fl 5, Roanoke, VA 24016-5100 | 2007-06-01 |
| 1639390644 | Junius Ellett Crowgey | Specialist | 3814 Belle Aire Cir Sw, Roanoke, VA 24018-1251 | 2007-05-01 |
| 1558586776 | Wayne Starr Miller | Specialist | 7735 E Manitou Trl-92, Roanoke, IN 46783-9203 | 2007-04-14 |
| 1508927021 | Darrell Franklin Powledge | Specialist | 512 Mcdowell Ave., Ne, Suite B, Roanoke, VA 24016 | 2006-12-12 |
| Find all providers in ROANOKE | ||||
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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.