Robert L. Davidson, M.D. PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M7907 Issued in ID

Legal business name

ROBERT L. DAVIDSON, M.D. PLLC

Practice address

520 S Eagle Rd
Suite 1245
Meridian, ID 83642-6351

Phone

(208) 890-2539

Fax

(208) 939-2698

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lantz Davidson, M.D.

Title

Physician Owner

Phone

(208) 890-9539

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1124357645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 W MCMILLAN RD",
            "address_2": "SUITE 102-311",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132071",
            "telephone_number": "208-890-2539",
            "fax_number": "208-939-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 1245",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-890-2539",
            "fax_number": "208-939-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. DAVIDSON, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LANTZ",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "208-890-9539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M7907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003661400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon M Ritz, RN
• RMHW Meridian South LLC.
• Darian Robbins, OTA
• Kimberly Jo Robbins, LMSW
• Travis W Robbins, NP
• Robert M Cahn MD PA
• Alyssa Roberts
• Tracy Ann Roberts, DNP, NP-C
• Whitney Ann Roberts, PA-C
• Joanna Patricia Robertson, LMT

• Nephrology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Nephrology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.