DR. ELLIOT DAVIDOFF (NPI# 1760485734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760485734 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT DAVIDOFF |
| Credential | MD |
| Practice Address |
1371 W Main St Newark OH 43055-3681 |
| Mailing Address |
1717 W Main St Ste 100 Newark OH 43055-1347 |
| Practice Telephone | 7405228555 |
| Practice Fax Number | 7405223620 |
| Mailing Telephone | 7405228555 |
| Mailing Fax Number | 7405223620 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35040590 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CIGNA HEALTHCARE | 0802942002 | 01 |
| OH | RR MEDICARE | 791183318 | 01 |
| OH | UNITED HEALTHCARE | 0800066 | 01 |
| OH | 0333115 | 05 | |
| OH | ANTHEM HEALTHCARE | 000000008372 | 01 |
| OH | AETNA HEALTHCARE | 648705 | 01 |
| Street Address |
1371 W MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497951149 | Surgical Interventions, LLC | Surgery | 1371 W Main St, Newark, OH 43055-3681 | 2007-06-21 |
| 1588605729 | Mark T Defrancisco | Surgery | 1371 W Main St, Newark, OH 43055-3681 | 2006-06-09 |
| 1275536237 | Mark Stephen Law | Ophthalmology | 1371 W Main St, Newark, OH 43055-3681 | 2005-05-24 |
| 1487657342 | James Edward Silone Jr. | Ophthalmology | 1371 W Main St, Newark, OH 43055-3681 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356480503 | Thomas W Materna | Ophthalmology | 20 Ferry St, Newark, NJ 07105-1420 | 2007-02-05 |
| 1891834297 | Center for Sight, Inc | Ophthalmology | 1717 W Main St., Suite 100, Newark, OH 43055-3681 | 2007-02-05 |
| 1720098320 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1588687743 | Shahin Shahinfar | Ophthalmology | 1651 West Main Street, Newark, OH 43055-1345 | 2006-07-26 |
| 1487676284 | Frank R Owczarek | Ophthalmology | 4102 Ogletown-stanton Road, Suite 1, Newark, DE 19713-4169 | 2006-07-24 |
| 1003835802 | Ronald Rescigno | Ophthalmology | 90 Bergen Street, Doc 6100, Newark, NJ 07103 | 2006-07-19 |
| 1881636173 | Erwin D Suh | Ophthalmology | 94a Omega Dr, Newark, DE 19713-2066 | 2006-06-12 |
| 1861499303 | Neil Scott Kalin | Ophthalmology | 314 E Main St, Newark, DE 19711-7128 | 2005-06-30 |
| 1003812454 | Mary Susan Napoleon | Ophthalmology | 1210 Driving Park Ave, Newark, NY 14513-1057 | 2005-06-21 |
| 1548507973 | Surgical Eye Associates of Delaware, LLC | Ophthalmology | 4102 Ogletown Stanton Rd, Suite 1, Newark, DE 19713-4181 | 2013-01-04 |
| Find all providers in NEWARK | ||||
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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.