DR. CRAIG L DAVIDSON (NPI# 1336698471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336698471 |
| Entity Type | Individual |
| Full Name | DR. CRAIG L DAVIDSON |
| Credential | MD |
| Practice Address |
13001 County Road 10 Plymouth MN 55442-1124 |
| Practice Telephone | 7635192634 |
| Practice Fax Number | 7635192367 |
| Mailing Telephone | 7635192634 |
| Mailing Fax Number | 7635192367 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
MN25974 | MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418838 | Craig J Davidson | Family Medicine | 1232 University of Oregon, Eugene, OR 97403-1232 | 2005-06-24 |
| Street Address |
13001 COUNTY ROAD 10 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669856985 | Amy K Bennett | Family Medicine | 13001 County Road 10, Plymouth, MN 55442-1124 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360303 | Thriver Health | Clinic/Center | 4045 Spruce Rd, Minnetrista, MN 55375-4512 | 2020-03-09 |
| 1073072260 | Divine Legacy | Clinic/Center | 3300 County Road 10 Ste 318, Brooklyn Center, MN 55429-3066 | 2019-03-18 |
| 1659860716 | Cerner Health Connections, Inc | Clinic/Center | 4001 Lexington Ave N, Arden Hills, MN 55126-2934 | 2018-05-04 |
| 1942501689 | Healthsource Solutions | Clinic/Center | 10159 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-1504 | 2010-11-11 |
| 1356532964 | Filmtec Corporation | Clinic/Center | 5400 Dewey Hill Rd, Edina, MN 55439-2085 | 2007-08-08 |
Please comment or provide details below to improve the information on DR. CRAIG L 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.