Individual provider Active NPI

Linda L Davison, MA CCCA

  • Audiologist
  • St Clairsville, OH
National Provider Identifier
1134215874
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00237 Issued in OH
Practice address
205 Spring Park Ave
St Clairsville, OH 43950-8538
Phone
(740) 695-1058
Fax
(740) 695-0889
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005973 PA
Audiologist 231H00000X A0056 WV
Audiologist 231H00000X A00237 OH Primary

Addresses

Primary practice location

205 Spring Park Ave
St Clairsville, OH 43950-8538

Mailing address

205 Spring Park Ave
St Clairsville, OH 43950-8538
Phone (740) 695-1058

Other practice location 1

12 Wheeling Ave
Glen Dale, WV 26038-1529
Phone (740) 695-1058

Other practice location 2

109 Plaza Dr
Saint Clairsville, OH 43950-7713
Phone (740) 695-1058

Other practice location 3

51687 National Rd
Saint Clairsville, OH 43950-9304
Phone (740) 695-1058

Other practice location 4

100 Hospital Dr
Barnesville, OH 43713-1098
Phone (740) 695-1058

Other practice location 5

317 Whitten Ln
New Martinsville, WV 26155-2145
Phone (740) 695-1058

Other practice location 6

317 Whitten Ln
New Martinsville, WV 26155-2145
Phone (740) 695-1058

Other identifiers 1

IdentifierTypeStateIssuer
0759442MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040602000908 OH Practitioner - Qualified Audiologist 7012999238 Reassigns benefits to 1 organization
I20120105000952 WV Practitioner - Qualified Audiologist 7012999238 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Dale, WV; New Martinsville, WV; Sistersville, WV

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda L DavisonGroup PAC ID 6204077035, 3 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Barnesville, OH 43713-1098
Phone (740) 695-1058

12 Wheeling Ave
Glen Dale, WV 26038-1529
Phone (740) 695-1058

205 Spring Park
St. Clairsville, OH 43950

205 Spring Park Ave
Saint Clairsville, OH 43950-8538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A00237OHMDAudiologist
AT005973PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda L Davison Audiologist CurrentSince Jun 1, 1989 Accepting new patients
Terry L Williams O D Inc CurrentSince Jun 10, 2019 Accepting new patients

Locations

100 Hospital Dr
Barnesville, OH 43713
Phone (740) 425-3093

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

51342 National Rd
St Clairsvle, OH 43950
Phone (740) 695-6500

51687 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1058

109 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 695-5200

12 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 843-1445

317 Whitten Ln
North Martinsvlle, WV 26155
Phone (304) 455-1562

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1134215874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SPRING PARK AVE",
            "city": "ST CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508538",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SPRING PARK AVE",
            "city": "ST CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508538",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381529",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439507713",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51687 National Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439509304",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "OH",
            "postal_code": "437131098",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Whitten Ln",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552145",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Whitten Ln",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552145",
            "country_code": "US",
            "telephone_number": "740-695-1058",
            "fax_number": "740-695-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA  CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005973",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A0056",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0759442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.