DEANNA D. DAVIDSON


Address: 100 3rd St, Suite 4, Davenport, WA 99122-9730
Phone: 5097256560

DEANNA D. DAVIDSON (NPI# 1053358465) 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) 1053358465
Entity Type Individual
Full Name DEANNA D. DAVIDSON
Other Name DEANNA D. HUNTWORK
Credential DO
Practice Address 100 3rd St
Suite 4
Davenport
WA 99122-9730
Mailing Address 100 3rd St
Suite 1
Davenport
WA 99122-9730
Practice Telephone 5097256560
Practice Fax Number 5097251509
Mailing Telephone 5097257501
Mailing Fax Number 5097257504
Enumeration Date 2006-06-02
Last Update Date 2010-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery OP00001498 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8186389 05
WA DEPT. OF L & I 163959 01
DEA BH2090809 01
WA MEDICARE RAILROAD 020053407 01
WA 7101132 05
WA MEDICARE RAILROAD CJ6525 01

Other Providers DEANNA DAVIDSON

NPI Name Taxonomy Address Enumeration
1457317075 Deanna Davidson Radiology 2895 Stuart Ter, Chattanooga, TN 37415-6106 2006-04-22

Office Location

Street Address 100 3RD ST
SUITE 4
City DAVENPORT
State WA
Zip Code 99122-9730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497205439 Lincoln County Hospital District #3 / North Basin Medical Clinics Health Maintenance Organization 100 3rd St, Davenport, WA 99122-5008 2016-10-13
1356795959 Leah Olvera Massage Therapist 100 3rd St, Davenport, WA 99122-5008 2016-04-20
1124331996 Providence Health & Services Internal Medicine 100 3rd St, Davenport, WA 99122-5008 2010-07-21
1891940789 Knute J Hernas Dds Ps Clinic/Center 100 3rd St, Suite 3, Davenport, WA 99122-5008 2008-11-19
1720126477 Knute Jonathan Hernas Dentist 100 3rd St, Suite 3, Davenport, WA 99122-9730 2007-02-02
1639113830 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-16
1972547610 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-15
1821031410 Cynthia D. Mccall Registered Nurse 100 3rd St, Suite 4, Davenport, WA 99122-9730 2006-06-13
1073554119 Donella S. Young Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-09
1558309518 Lincoln County Hospital District 3 Family Medicine 100 3rd St, Suite 1, Davenport, WA 99122-9730 2006-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003387697 Creekside Pharmacy LLC Pharmacy 639 Morgan Street, Davenport, WA 99122 2018-12-08
1366959470 Kandis Rose Paskell Counselor 547 Morgan Street, Davenport, WA 99122 2018-01-10
1538567839 Alyssa Fleming Speech-Language Pathologist 28000 Prairie Springs Drive, Davenport, WA 99122 2014-12-18
1477742500 Daniel W Pitman Counselor 1102 8th Street, Davenport, WA 99122 2007-10-15
1730201856 Capstone Behavioral Health Counselor 49 Park Street, Davenport, WA 99122 2007-04-06
1972625762 David Lee Turner Dentist 707 Logan St, Davenport, WA 99122 2007-04-04
1982723318 Dawn Lorraine Wilcox Counselor 49 Park, Unit C, Davenport, WA 99122 2007-03-28
1184789703 Michael G Van Pevenage Physical Therapist 506 Morgan Street, Davenport, WA 99122 2006-12-26
1447323811 Davenport Vision Clinic, Inc. Optometrist 506 8th St, Davenport, WA 99122 2006-11-15
1912002791 Davenport Pharmacy Inc Pharmacy 525 Morgan St, Davenport, WA 99122 2006-09-14
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538227442 Carifi Breast Care Pa Surgery 171 Webb Drive, Suite #1, Davenport, FL 33837 2006-12-04
1861508111 Paul David Williams Surgery 40124 Highway 27 Ste 207, Davenport, FL 33837-5905 2006-08-21
1770597569 Perumalswamy Rajaram Surgery 40124 Highway 27 Ste 104, Davenport, FL 33837-5905 2006-07-28
1578590014 Mel Francis Garrovillo Surgery 111 Webb Dr Ste 3, Davenport, FL 33837-3944 2006-06-28
1669478087 Vincent G Carifi Surgery Carifi Breast Care, P.a., 171 Webb Drive - Suite #1, Davenport, FL 33837 2005-06-21
1720313364 Shiva Seetahal Surgery 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 2009-10-15
1336346246 Garrovillo Surgical Care LLC Surgery 111 Webb Dr, Suite 3, Davenport, FL 33837-3944 2007-07-03
1588861389 Andrew J Lightfoot Surgery 3319 Spring St, Davenport, IA 52807-2125 2007-06-27
1891991832 Rajaram P A Surgery 40124 Highway 27, Suite 203, Davenport, FL 33837-5905 2007-06-26
1053527853 Lincoln County Hospital District 3 Surgery 100 3rd St Ste 1, Davenport, WA 99122-5008 2007-05-16
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Competitor

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City DAVENPORT
Zip Code 99122

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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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