KENNETH H. DAVIDSON MD PC NPI 1457547184

NPI Information

NPI: 1457547184
Provider Name: KENNETH H. DAVIDSON, MD, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

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

KENNETH H. DAVIDSON, MD, PC 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. KENNETH H. DAVIDSON, MD, PC NPI is 1457547184. The provider is registered as an organization entity type and is a single specialty group.

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 provider's authorized official is Kenneth Davidson .
The authorized official title is President and has the following contact phone number (585) 426-9278.

The enumeration date for this NPI number is 9/17/2007 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	10453	OTHER		GHI
2	MD4426	OTHER		PREFERRED CARE
3	005002871	OTHER		BLUE SHIELD WESTERN NY
4	Y019296	OTHER		CHAMPUS
5	B71765	MEDICARE UPIN
6	00450853	MEDICAID	NEW YORK
7	RA8493	MEDICARE PIN
8	9913	OTHER		BLUE CROSS BLUE SHIELD
9	005002871	OTHER		COMMUNITY BLUE
10	07341	OTHER		CHOICE CARE
11	BA0675	MEDICARE PIN
12	4273339	OTHER		AETNA
13	PO10103663	OTHER		BLUE CHOICE - EXCELLUS

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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