LISA DAVIDSON (NPI# 1316900947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316900947 |
| Entity Type | Individual |
| Full Name | LISA DAVIDSON |
| Credential | MD |
| Practice Address |
1350 S Kings Dr Charlotte NC 28207-2134 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044461242 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2012-00023 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Morehead Medical Dr, Suite 200c, Charlotte, NC 282042963 | 7043550607 | |
| 1350 S Kings Dr, Charlotte, NC 282072134 | 7044464490 | |
| 4539 Hedgemore Dr, Ste 100, Charlotte, NC 282093276 | 7043319669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966343 | Lisa Davidson | Speech-Language Pathologist | 12933 Erie Pl, Fishers, IN 46037-7832 | 2020-09-09 |
| 1124416839 | Lisa Renee Davidson | Pharmacist | 517 Winchester Dr, West Plains, MO 65775-3936 | 2015-01-03 |
| 1659497600 | Lisa Anita Davidson | Psychologist | 14015 Midland Rd, Poway, CA 92064-3959 | 2007-03-21 |
| 1235185406 | Lisa Diane Davidson | Family Medicine | 2373 Central Park Blvd Unit 205, Denver, CO 80238-2300 | 2006-05-26 |
| 1932101300 | Lisa H Davidson | Audiologist | 904 N Chancery St, Mcminnville, TN 37110-1503 | 2005-08-15 |
| 1285026880 | Lisa Ann Davidson | Registered Nurse | 1800 Nw Myhre Rd, Silverdale, WA 98383-7663 | 2015-02-19 |
| 1740327998 | Lisa Davidson | Audiologist | 4560 Clayton Ave, Saint Louis, MO 63110-1502 | 2007-01-30 |
| 1477627461 | Lisa Elizabeth Davidson | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1568436939 | Lisa L Davidson | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2006-02-14 |
| 1184603193 | Lisa R Davidson | Psychiatry & Neurology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| Street Address |
1350 S KINGS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132259 | John Mcnamara | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2005-05-23 |
| 1013545417 | Grant Blanchard | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-31 |
| 1992333884 | Bria Burris | Student in an Organized Health Care Education/Training Program | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-28 |
| 1427685668 | Kendall Parrott | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-26 |
| 1023645538 | Katherine Elizabeth Akeley | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1386271898 | Anna Catherine Raines | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1932752409 | Laura Mcdowell | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-23 |
| 1992358816 | Carley Chardukian | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-19 |
| 1174175202 | Lyndsay Clark | Physician Assistant | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-09 |
| 1508420910 | Catherine Harte O'grady | Social Worker | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1205815701 | Id Consultants Pa | Internal Medicine | 4539 Hedgemore Drive, Suite 100, Charlotte, NC 28209 | 2006-01-12 |
| 1164408423 | Joseph Lang | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2005-12-19 |
| 1932675758 | Jason Lamarr Hardin | Internal Medicine | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2018-10-18 |
| 1942703582 | Integrated Healthcare Innovation Inc. | Internal Medicine | 1313 N Tryon St, Charlotte, NC 28206-2721 | 2018-03-09 |
| 1912326331 | Siddhi Gupta | Internal Medicine | 1900 Randolph Rd Ste 216, Charlotte, NC 28207-1106 | 2014-04-14 |
| 1003235524 | Novant Medical Group Inc | Internal Medicine | 1900 Randolph Rd, Suite 216, Charlotte, NC 28207-1122 | 2014-04-11 |
| 1528486057 | Mindy Sampson | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-04-02 |
| 1063833424 | Novant Medical Group | Internal Medicine | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2014-01-02 |
| 1679994842 | Novant Medical Group Inc | Internal Medicine | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2013-12-13 |
| 1003242876 | Carolinas Physicians Network Inc | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2013-09-24 |
| Find all providers in CHARLOTTE | ||||
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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.