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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1033290853 | 05 |
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 |
Street Address |
1240 LEE ST |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22908-0001 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22908 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
City | CHARLOTTESVILLE |
Zip Code | 22908 |
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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.