KELLY MERCER DAVIDSON


Address: 1240 Lee St, Charlottesville, VA 22908-0001
Phone: 4349249333

KELLY MERCER DAVIDSON (NPI# 1033290853) 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) 1033290853
Entity Type Individual
Full Name KELLY MERCER DAVIDSON
Credential M.D.
Practice Address 1240 Lee St
Charlottesville
VA 22908-0001
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349249333
Practice Fax Number 4342447526
Mailing Telephone 4342951000
Mailing Fax Number 4349724266
Enumeration Date 2006-10-18
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0101243400 VA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
D0064115 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1033290853 05

Other Providers KELLY DAVIDSON

NPI Name Taxonomy Address Enumeration
1538795901 Kelly Davidson Dietitian, Registered 6 Auburn Pl, Princeton Junction, NJ 08550-1809 2020-03-18
1053617282 Kelly Marie Davidson Speech-Language Pathologist 10098 Big Bear Creek Rd, Lucasville, OH 45648-9168 2011-02-05
1467506238 Kelly Best Davidson Social Worker 4151 6th St S, Saint Petersburg, FL 33705-3909 2007-01-22
1518588862 Kelly L Davidson Registered Nurse 2500 Charlotte Ave, Nashville, TN 37209-4129 2020-04-28
1548746381 Kelly Davidson Pharmacist 375 Dixmyth Ave, Cincinnati, OH 45220 2018-07-16
1427562396 Kelly Ann Davidson Nurse Practitioner 29000 Center Ridge Rd, Westlake, OH 44145-5219 2017-11-29
1922524594 Kelly M Davidson Registered Nurse 15802 N Parkview Place, Surprise, AZ 85374 2017-08-16
1134654155 Kelly Davidson Technician, Other 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-04-27
1437508512 Kelly Shea Davidson Student in an Organized Health Care Education/Training Program 301 Fisher St, Keesler Afb, MS 39534-2508 2016-06-08
1952616278 Kelly Davidson Psychiatry & Neurology 9500 Euclid Ave, Cleveland, OH 44195-0001 2010-08-11

Office Location

Street Address 1240 LEE ST
City CHARLOTTESVILLE
State VA
Zip Code 22908-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871587246 Tamila L. Kindwall- Keller Internal Medicine 1240 Lee St, Charlottesville, VA 22908-0001 2005-08-31
1780297341 Megan Godsey Poole Dietitian, Registered 1240 Lee St, Charlottesville, VA 22908-6055 2020-08-24
1437774577 Wendi Betting Genetic Counselor, MS 1240 Lee St, Charlottesville, VA 22908-0817 2020-06-15
1497376768 Toni F Kistner Registered Nurse 1240 Lee St, Charlottesville, VA 22908-0817 2020-04-28
1851925093 Christina J Taylor Nurse Practitioner 1240 Lee St, Charlottesville, VA 22908-0816 2020-02-26
1447884960 Jensen Carr Pharmacist 1240 Lee St, Charlottesville, VA 22908-0817 2020-02-24
1700436839 Melody D Noble Nurse Practitioner 1240 Lee St, Charlottesville, VA 22908-0816 2019-09-20
1619527322 Joshua Humphrey Nurse Practitioner 1240 Lee St, Charlottesville, VA 22908-0817 2019-09-14
1104482108 Dale Hardaway Roper Pharmacist 1240 Lee St, Charlottesville, VA 22908-0817 2019-05-15
1710542345 Danh Pham Pharmacist 1240 Lee St, Charlottesville, VA 22908-0817 2019-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1649702317 Ryan Aschenbrener Student in an Organized Health Care Education/Training Program 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 2017-03-31
1215399241 Katherine Gresham Belote Student in an Organized Health Care Education/Training Program 1221 Lee Street Uva Health System, Charlottesville, VA 22908 2016-03-29
1851776215 Catherine Meller Student in an Organized Health Care Education/Training Program 1215 Lee St., Box 800713, Charlottesville, VA 22908 2015-07-28
1295112597 Breanna Campbell Internal Medicine 1220 Lee St Ste 2401, Charlottesville, VA 22908 2015-05-06
1013255637 Melinda Bowles-childress Nurse Practitioner 1 Hospital Dr Fl 1, Charlottesville, VA 22908 2013-01-17
1053521757 Univeristy of Virginia Health System General Acute Care Hospital University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 2007-05-23
1730241282 Imre Noth Internal Medicine 1221 Lee St Fl 2, Charlottesville, VA 22908 2006-12-14
1023185394 Tamer Ghanem Otolaryngology Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 2006-11-29
1366401242 Lisa M Christianson Obstetrics & Gynecology Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 2006-03-21
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366860496 Krista Isaac Internal Medicine 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 2014-04-05
1841330008 Michael E. Williams Internal Medicine Uva Emily Couric Clinical Cancer Ctr, 1240 Lee Street, Charlottesville, VA 22908-0001 2007-02-07
1679590608 Aarti Ailawadi Internal Medicine Uva Hospital W, Hospital Drive, 4th Floor, Charlottesville, VA 22908-0001 2006-07-16
1053397745 Hematology Oncology Patient Enterprises P C Internal Medicine 459 Locust Ave, Charlottesville, VA 22902-4808 2005-12-15
1083699961 Stefan Michael Gorsch Internal Medicine 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911-0001 2005-12-13
1073518452 Mikhail Vinogradov Internal Medicine 2204 Hyland Ridge Dr, Charlottesville, VA 22911-3645 2005-06-14
1063701852 Louise M Man Internal Medicine 1240 Lee St, Charlottesville, VA 22908-0817 2011-04-01
1093036113 Andrew Michael Romano Internal Medicine 500 Martha Jefferson Dr, Charlottesville, VA 22911 2010-06-14
1427218205 Craig Anthony Portell Internal Medicine 1240 Lee St, Charlottesville, VA 22908-0817 2008-06-14
1952502718 Patrick M Dillon Internal Medicine 1240 Lee St, Charlottesville, VA 22908-0817 2007-05-30
Find all providers in CHARLOTTESVILLE

Competitor

Search similar providers

City CHARLOTTESVILLE
Zip Code 22908

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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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