PETER JAMES DAVIDSON (NPI# 1417043522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417043522 |
| Entity Type | Individual |
| Full Name | PETER JAMES DAVIDSON |
| Credential | MD |
| Practice Address |
2700 Stewart Parkway Annex B Roseburg OR 97471 |
| Mailing Address |
272 Medical Loop Suite E Roseburg OR 97471 |
| Practice Telephone | 5414403532 |
| Practice Fax Number | 5414403554 |
| Mailing Telephone | 5414403532 |
| Mailing Fax Number | 5414403554 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD17134 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346177 | Peter K Davidson | Internal Medicine | 38 Mulberry St, Leeds, MA 01053-5338 | 2006-04-19 |
| 1881605210 | Peter L Davidson | Emergency Medicine | 1600 South 48th Street, Er Dept, Lincoln, NE 68506 | 2006-08-10 |
| Street Address |
2700 STEWART PARKWAY ANNEX B |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174004 | Jerry Robert Smead | Pharmacist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2006-06-17 |
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1467987388 | Toryn Clark | Community Health Worker | 2700 Stewart Parkway, Roseburg, OREGON 97470 | 2017-04-28 |
| 1376905273 | Lisa Dawn Disante | Community Health Worker | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-22 |
| 1598125346 | Mary Anne Worthington | Counselor | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-07 |
| 1598130858 | Michael Dale Shipley | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-12-11 |
| 1023480548 | Angela Marie Gross | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-10-23 |
| 1578945804 | Rebecca Potuzak | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-23 |
| 1396126942 | Staci Bryan | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1245610435 | Loriann Barber | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740292986 | Jeanette Helen Oleskowicz | Psychiatry & Neurology | 2515 Nw Edenbower Blvd, Apt. 20, Roseburg, OR 97470-8855 | 2006-08-13 |
| 1427068758 | James R Young | Psychiatry & Neurology | 201 Medical Loop, Suite 180, Roseburg, OR 97471 | 2006-08-09 |
| 1053336024 | Scott Douglas Mendelson | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2006-07-12 |
| 1851884548 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 | 2018-06-07 |
| 1003364779 | Cep America-telehealth, PC | Psychiatry & Neurology | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-09-12 |
| 1487910279 | Leigh Anne Bressler | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2012-04-05 |
| 1043447725 | John Patrick Schrimsher | Psychiatry & Neurology | 201 Medical Loop, Suite 180, Roseburg, OR 97471 | 2009-06-19 |
| 1437338928 | Steven W Jeffers | Psychiatry & Neurology | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2007-10-31 |
| 1982768750 | Susan G. Pickrel | Psychiatry & Neurology | 621 W Madrone St, Roseburg, OR 97470-3090 | 2006-12-19 |
| 1528152253 | Robert Lee Higginbotham | Psychiatry & Neurology | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-10-03 |
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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.