Craig J Davidson, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

M D28275 Issued in OR

Practice address

1232 University of Oregon
Eugene, OR 97403-1232

Phone

(541) 346-0565

Fax

(541) 346-2748

NPI assigned

Jun 24, 2005

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1063418838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 UNIVERSITY OF OREGON",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031232",
            "telephone_number": "541-346-0565",
            "fax_number": "541-346-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 UNIVERSITY OF OREGON",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031232",
            "telephone_number": "541-346-0565",
            "fax_number": "541-346-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OR",
            "license": "M D28275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279253",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H. Ott, D. C. PC
• David Jorgensen (Everetts Villa Pharmacy)
• David Levin
• David S Miller MD (Pediatric Care Associates)
• Timothy Glenn David, PHARM D
• John Robert Davidson, M.S.
• Sidney D. Davidson, M.D.
• Meghan Davies
• Reonna McKibben Davies
• Amy Myleen Davis, LPC

• Sports Medicine (Family Medicine) Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Sports Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.