Kristen Marguerite Davidge, M.D., MSC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2012016532 Issued in MO

Practice address

660 S Euclid Ave
Campus Box 8238
Saint Louis, MO 63110-1010

Phone

(314) 779-8684

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1205182235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 FOREST PARK AVE",
            "address_2": "SUITE 316",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082128",
            "telephone_number": "314-779-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CAMPUS BOX 8238",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-779-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDGE",
        "first_name": "KRISTEN",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "M.D., MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2012016532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaachi David
• Lisa David
• Max H David, MD
• Neil Francis David, O.D.
• Polly Kate David, MD
• Davidson Optometry PC
• Amelia Layne Davidson, MD
• Anne Davidson
• Cheryl L Davidson, O.D.
• Jesse T Davidson IV, MD

• Student in an Organized Health Care Education/Training Program in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.