DR. KENNETH H DAVIDSON MD NPI 1871565861

NPI Information

NPI: 1871565861
Provider Name: DR. KENNETH H DAVIDSON, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1415 PORTLAND AVE
SUITE 350
ROCHESTER, NY
ZIP 14621
Phone: (585) 426-9278
Get Directions

DR. Kenneth H Davidson, MD is a cardiovascular disease internal medicine in Rochester, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kenneth H Davidson, MD NPI is 1871565861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1415 PORTLAND AVE
SUITE 350
ROCHESTER, NY
ZIP 14621-038
Phone: (585) 426-9278
Fax: (585) 338-2738

The enumeration date for this NPI number is 2/3/2006 and was last updated on 10/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	103663	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y019296	OTHER		CHAMPUS
2	9913	OTHER		BLUE CROSS BLUE SHIELD
3	MD4426	OTHER		PREFERRED CARE
4	RA8493	MEDICARE ID-TYPE UNSPECIFIED
5	005002871	OTHER		BLUE SHIELD WESTERN NY
6	07341	OTHER		CHOICE CARE
7	P010103663	OTHER		BLUE CHOICE
8	BA0675	MEDICARE PIN
9	10453	OTHER		GHI
10	B71765	MEDICARE UPIN
11	005002871	OTHER		COMMUNITY BLUE
12	00450853	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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