ROBERT J DAVIDSON (NPI# 1790774826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790774826 |
| Entity Type | Individual |
| Full Name | ROBERT J DAVIDSON |
| Credential | M.D. |
| Practice Address |
13 N Walnut St Pinckneyville IL 62274-1050 |
| Mailing Address |
3702 Shoshone Cir Pinckneyville IL 62274-4113 |
| Practice Telephone | 6183572147 |
| Practice Fax Number | 6183578142 |
| Mailing Telephone | 6183572147 |
| Mailing Fax Number | 6183578142 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36-079086 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891052577 | Robert Davidson | Behavioral Analyst | 101 Marketside Ave, Ponte Vedra, FL 32081-1541 | 2012-04-18 |
| 1326324898 | Robert M Davidson | Occupational Therapist | 1940 Benson Ave, Brooklyn, NY 11214 | 2011-10-28 |
| 1568791747 | Robert Davidson | General Practice | 242 Merion Rd, Merion Station, PA 19066-1751 | 2009-12-16 |
| 1649413147 | Robert Davidson | Dentist | 1258 E 9th St, Brooklyn, NY 11230-5108 | 2009-04-13 |
| 1447445796 | Robert William Davidson | Dentist | 9625 Pierce Rd, Freeland, MI 48623-8102 | 2007-09-10 |
| 1407927726 | Robert B Davidson | Dentist | 708 N Main St, Elburn, IL 60119 | 2006-11-10 |
| 1326139965 | Robert R. Davidson | Marriage & Family Therapist | 4110 Pacific Ave, Suite 202, Forest Grove, OR 97116-2266 | 2006-09-27 |
| 1801821129 | Robert Michael Davidson | Podiatrist | 10762 Nw 18th Ct, Coral Springs, FL 33071-4206 | 2006-07-12 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| 1578520078 | Robert John Davidson | Dentist | 809 Coshocton Avenue, Suite E, Mt Vernon, OH 43050 | 2006-04-27 |
| Street Address |
13 N WALNUT ST |
| City | PINCKNEYVILLE |
| State | IL |
| Zip Code | 62274-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128554 | Beth A Bigham | Emergency Medicine | 13 N Walnut St, Pinckneyville, IL 62274-1050 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912260233 | Kathy Lynn Heard | Physical Therapy Assistant | 101 N. Walnut St., Pinckneyville, IL 62274 | 2012-06-21 |
| 1235254350 | Timothy Alan Mathis | Emergency Medicine | 202 S Walnut St, Pinckneyville, IL 62274 | 2007-03-20 |
| 1225194988 | Perry County Trans Van | Non-emergency Medical Transport (VAN) | 602 S Douglas St, Pinckneyville, IL 62274 | 2006-12-28 |
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1588670426 | Ralph Kane Chapman | Dentist | Box 469, 314 W South St, Pinckneyville, IL 62274 | 2006-07-31 |
| 1427456961 | Alisa D Dearmond | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1619210721 | Andrea Marie Epplin | Nurse Practitioner | 5383 State Route 154, Family Medical Center, Pinckneyville, IL 62274 | 2013-03-27 |
| 1841336799 | Clinic Pharmacy | Pharmacy | 206 North Main Street, Pinckneyville, IL 62274-0364 | 2007-01-29 |
| 1992840821 | Wayne Ray Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2007-02-20 |
| 1194384669 | Thaddeus Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2019-06-10 |
| Find all providers in zip 62274 | ||||
| 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 |
|---|---|---|---|---|
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1508386533 | Sabrina Haque I | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2017-06-21 |
| 1326155029 | Pinckneyville Community Hospital | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-08-25 |
| 1689646127 | John Gregg Fozard | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PINCKNEYVILLE |
| Zip Code | 62274 |
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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.