DR. ROBERT LANTZ DAVIDSON (NPI# 1144275694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144275694 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LANTZ DAVIDSON |
| Credential | M.D. |
| Practice Address |
3525 E Louise Dr Ste 195 Meridian ID 83642 |
| Mailing Address |
3525 E Louise Dr Ste 195 Meridian ID 83642-6303 |
| Practice Telephone | 2088468335 |
| Practice Fax Number | 2088468336 |
| Mailing Telephone | 2088468335 |
| Mailing Fax Number | 2088468336 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | M7907 | ID | Other Service Providers |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M7907 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003661400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4424 E Flamingo Ave Ste 195, Nampa, ID 836879289 | 2088468335 | 2088468336 |
| 1109 W Myrtle St Ste 100, Boise, ID 837026971 | 2088468335 | 2088468336 |
| 4620 Enterprise Way Ste 101, Caldwell, ID 836056764 | 2088468335 | 2088468336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891052577 | Robert Davidson | Behavioral Analyst | 101 Marketside Ave, Ponte Vedra, FL 32081-1541 | 2012-04-18 |
| 1326324898 | Robert M Davidson | Occupational Therapist | 1940 Benson Ave, Brooklyn, NY 11214 | 2011-10-28 |
| 1568791747 | Robert Davidson | General Practice | 242 Merion Rd, Merion Station, PA 19066-1751 | 2009-12-16 |
| 1649413147 | Robert Davidson | Dentist | 1258 E 9th St, Brooklyn, NY 11230-5108 | 2009-04-13 |
| 1447445796 | Robert William Davidson | Dentist | 9625 Pierce Rd, Freeland, MI 48623-8102 | 2007-09-10 |
| 1407927726 | Robert B Davidson | Dentist | 708 N Main St, Elburn, IL 60119 | 2006-11-10 |
| 1326139965 | Robert R. Davidson | Marriage & Family Therapist | 4110 Pacific Ave, Suite 202, Forest Grove, OR 97116-2266 | 2006-09-27 |
| 1801821129 | Robert Michael Davidson | Podiatrist | 10762 Nw 18th Ct, Coral Springs, FL 33071-4206 | 2006-07-12 |
| 1578520078 | Robert John Davidson | Dentist | 809 Coshocton Avenue, Suite E, Mt Vernon, OH 43050 | 2006-04-27 |
| 1003809641 | Robert Clabaugh Davidson | Ophthalmology | 1727 W Frye Rd Ste 220, Chandler, AZ 85224-5298 | 2005-08-30 |
| Street Address |
3525 E LOUISE DR STE 195 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871737973 | Amanda Kaye Hall | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2009-04-21 |
| 1952543118 | Aaron Fearday | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2009-04-01 |
| 1902963101 | Boise Kidney & Hypertension Pllc | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2007-01-03 |
| 1497790646 | Arnold Silva | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1124357645 | Robert L. Davidson, M.d. Pllc | Internal Medicine | 520 S Eagle Rd, Suite 1245, Meridian, ID 83642-6351 | 2009-12-11 |
| 1952543118 | Aaron Fearday | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2009-04-01 |
| 1902963101 | Boise Kidney & Hypertension Pllc | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2007-01-03 |
| 1437194552 | Mary O'kief Dittrich | Internal Medicine | 3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 | 2006-06-20 |
| 1518944198 | Robert E Clark | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| 1336126911 | John C Andy | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on DR. ROBERT LANTZ DAVIDSON.
| 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.