VADIM DAVYDOV (NPI# 1538264346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538264346 |
| Entity Type | Individual |
| Full Name | VADIM DAVYDOV |
| Credential | DO |
| Practice Address |
2 Titus Pl Walton NY 13856-1455 |
| Practice Telephone | 6078652400 |
| Practice Fax Number | 6078652406 |
| Mailing Telephone | 6078652400 |
| Mailing Fax Number | 6078652406 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 223297 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02489834 | 05 |
| Street Address |
2 TITUS PL |
| City | WALTON |
| State | NY |
| Zip Code | 13856-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743407 | Michael J Freeman | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2005-07-12 |
| 1801132923 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2012-12-18 |
| 1952565343 | Dove Cai | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2008-07-15 |
| 1568546182 | Valentina Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-10-24 |
| 1144312646 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2006-09-29 |
| 1629051354 | Shirley Elizabeth Salton | Nurse Practitioner | 2 Titus Pl, Walton, NY 13856-1455 | 2005-11-28 |
| 1104809128 | Gary Preiser | Pediatrics | 2 Titus Pl, Walton, NY 13856-1455 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973962 | Leeann Otto | Registered Nurse | 88 Griswold St, Walton, NY 13856 | 2016-10-18 |
| 1134518582 | Crystal Burr | Licensed Practical Nurse | 1773 Dryden Rd, Walton, NY 13856 | 2015-01-22 |
| 1043573348 | Dawn F. Northrup | Registered Nurse | 47-49 Stockton Ave., Walton, NY 13856 | 2012-06-21 |
| 1659657120 | Gladys A Frazier | Registered Nurse | 42 North Street, Walton, Ny,13856, NY 13856 | 2011-10-28 |
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1609039866 | Diane Zieba-virone | Pharmacist | 215 Delaware Street, Walton, NY 13856 | 2008-07-08 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1104930593 | Michael C Free | Physician Assistant | 1 Titus Place, Walton, NY 13856 | 2006-08-19 |
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
| Find all providers in zip 13856 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298250 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-10-01 |
| 1215952544 | Francine Robinson Mosley | Family Medicine | 625 Chestnut Dr Ste 106, Walton, KY 41094-7845 | 2006-07-13 |
| 1699748624 | Otsego Medical Services P.C. | Family Medicine | 6 Franklin Rd, Walton, NY 13856-1214 | 2006-02-09 |
| 1982687901 | Luis Francisco Rodriguez-betancourt | Family Medicine | 42 Griswold St, Walton, NY 13856-1338 | 2005-11-23 |
| 1396743407 | Michael J Freeman | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2005-07-12 |
| 1972050961 | Melissa Diane Larson | Family Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2016-09-07 |
| 1639423411 | Hospital Development Co | Family Medicine | 94 School Dr, Walton, WV 25286-9774 | 2012-11-01 |
| 1952565343 | Dove Cai | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2008-07-15 |
| 1245410869 | Joshua A Kadetz | Family Medicine | 625 Chestnut Dr, Walton, KY 41094-7845 | 2007-11-12 |
| 1568546182 | Valentina Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-10-24 |
| Find all providers in WALTON | ||||
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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.