DR. DIRK C DAVIDSON (NPI# 1659369429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659369429 |
| Entity Type | Individual |
| Full Name | DR. DIRK C DAVIDSON |
| Credential | MD |
| Practice Address |
49 Cleveland St Suite 270 Crossville TN 38555-9716 |
| Practice Telephone | 9314847596 |
| Practice Fax Number | 9314847597 |
| Mailing Telephone | 9314847596 |
| Mailing Fax Number | 9314847597 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD21772 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | P00102649 | 01 |
| TN | 3890077 | 05 |
| Street Address |
49 CLEVELAND ST SUITE 270 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-9716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208954 | Kimberly M Johnson | Obstetrics & Gynecology | 49 Cleveland St, Suite 240, Crossville, TN 38555-2855 | 2005-07-13 |
| 1154629459 | Tennessee Physician Consultants, PC | Orthopaedic Surgery | 49 Cleveland St, Crossville, TN 38555-9716 | 2011-03-10 |
| 1265746978 | Milligan Surgical Clinic | Surgery | 49 Cleveland St, Ste 310, Crossville, TN 38555-9716 | 2010-08-05 |
| 1518113679 | John Leslie Milligan | Surgery | 49 Cleveland St, Suite 310, Crossville, TN 38555-9716 | 2008-08-08 |
| 1053575472 | Tennessee Plateau Oncology Pllc | Specialist | 49 Cleveland St, Suite 270, Crossville, TN 38555-9716 | 2008-07-15 |
| 1669548210 | Margaret D Wilson | Nurse Practitioner | 49 Cleveland St, Suite 270, Crossville, TN 38555-9716 | 2006-11-27 |
| 1083784839 | Crossville Medical Oncology PC | Specialist | 49 Cleveland St, Suite 340, Crossville, TN 38555-9716 | 2006-11-09 |
| 1609963149 | The Group for Women LLC | Obstetrics & Gynecology | 49 Cleveland St, Suite 230, Crossville, TN 38555-9716 | 2006-10-06 |
| 1619991544 | Samuel Wisco Ong | Internal Medicine | 49 Cleveland St, Ste. 250, Crossville, TN 38555-9716 | 2006-07-26 |
| 1447279898 | David Carter Tabor | Internal Medicine | 49 Cleveland St, Suite 340, Crossville, TN 38555-9716 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013158351 | Blue Mountain Medical Associates | Specialist | 4147 Highway 127 N, Suite 102, Crossville, TN 38571-7520 | 2009-03-17 |
| 1700097417 | Crossville Orthopaedics & Sports Medicine Pllc | Specialist | 35 Taylor Ave, Suite 103, Crossville, TN 38555-4526 | 2007-05-24 |
| 1871045880 | Katie Korth | Specialist | 15 Iris Ln, Crossville, TN 38555-7528 | 2016-10-26 |
| 1215336508 | Upper Cumberland Cancer Care | Specialist | 707 S Main St, Crossville, TN 38555-5011 | 2014-08-22 |
| 1053575472 | Tennessee Plateau Oncology Pllc | Specialist | 49 Cleveland St, Suite 270, Crossville, TN 38555-9716 | 2008-07-15 |
| 1033371398 | Allergy Associates Pa | Specialist | 60 Crossville Medical Dr, Suite 104, Crossville, TN 38555-2500 | 2008-06-27 |
| 1114142510 | Radiation Oncology Care Associates | Specialist | 421 S Main St, Crossville, TN 38555-5048 | 2007-04-13 |
| 1962529354 | Litchford Eye Clinic, PC | Specialist | 33 W Adams St, Crossville, TN 38555-4836 | 2007-03-23 |
| 1235297847 | Mohammad Hassan Koucheki | Specialist | 40 Elmo Dr, Crossville, TN 38555-4807 | 2006-12-05 |
| 1083784839 | Crossville Medical Oncology PC | Specialist | 49 Cleveland St, Suite 340, Crossville, TN 38555-9716 | 2006-11-09 |
| Find all providers in CROSSVILLE | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.