Charles Davenport MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME60801 Issued in FL

Legal business name

CHARLES DAVENPORT MD PA

Practice address

1250 S Tamiami TRL
Suite 103
Sarasota, FL 34239-2221

Phone

(941) 951-2100

Fax

(941) 894-3123

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Davenport, M.D.NPI 1730116872

Title

Medical Director

Phone

(941) 951-2100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles J Davenport, MD

  • Diagnostic Radiology Physician
  • Venice, FL
  • NPI 1730116872
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1043459811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-951-2100",
            "fax_number": "941-894-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-951-2100",
            "fax_number": "941-894-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES DAVENPORT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-951-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME60801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Chapman, MD
• Rose Chapman, LCSW
• Moyez Charania, OT, CHT. TPI
• Charis Center
• Charles a. D'Amico, D.D.S., P.a.
• Charles E Liott D C P a
• Charles Elwell III, D.M.D., P.a.
• Charles Loewe MD PA
• Charles R Davenport PSYD LLC (Davenport Psychology)
• Charles W. Schmidt, DDS, PA (Gentle Denal, Inc.)

• Diagnostic Radiology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.