Active NPI
Stephen Michael Davidson, MD
- Diagnostic Radiology Physician
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 67532
- Practice address
- 13677 W McDowell Rd
Goodyear, AZ 85395-2600 - Phone
- (623) 882-1500
- Fax
- (623) 882-1912
- NPI assigned
- May 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD228750 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | 67532 | AZ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD.MD.70079833 | WA |
Addresses
Primary practice location
13677 W McDowell Rd
Goodyear, AZ 85395-2600
Mailing address
PO Box 18892
Belfast, ME 04915-4083
Phone (844) 597-5702
Other practice location 1
900 Sunset Dr
LA Grande, OR 97850-1362
Phone (541) 963-8420
Other practice location 2
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615002671 | OR | Practitioner - Diagnostic Radiology | 4284016338 |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67532 | AZ | MD | Diagnostic Radiology Physician |
| MD228750 | OR | MD | Diagnostic Radiology Physician |
| MD.MD.70079833 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1295807055
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1073189155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18892",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154083",
"telephone_number": "844-597-5702",
"fax_number": "888-902-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13677 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952600",
"telephone_number": "623-882-1500",
"fax_number": "623-882-1912"
}
],
"practiceLocations": [
{
"address_1": "900 Sunset Dr",
"address_purpose": "LOCATION",
"city": "LA Grande",
"state": "OR",
"postal_code": "978501362",
"country_code": "US",
"telephone_number": "541-963-8420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122805",
"country_code": "US",
"telephone_number": "520-327-5461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD228750",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "67532",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD.MD.70079833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.