Elliot B Davidson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35049124 Issued in OH

Practice address

400 Wabash Ave
#301
Akron, OH 44307-2433

Phone

(330) 344-6047

Fax

(330) 344-6042

NPI assigned

Aug 23, 2006

Last updated

Jan 18, 2013By 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 5

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Northeastern Ohio University College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edavidson316465@direct.ccf.org

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.

• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Akron General Center for Family Medicine

  dba Center for Family Medicine

  • Family Medicine Physician
  • Akron, OH
  • NPI 1366559916
  Authorized official Same address or phone
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD
• Internal Medicine of Akron

  dba Partners Physician Group

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1477645935
  NPD (past)
• Main Street Family Practice Inc

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1093864035
  NPD (past)
• Partners Physician Group

  dba Bath Medical Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1023301025
  NPD (past)
• Partners Physician Group

  dba Northeast Ohio Orthopaedic Associates

  • Orthopaedic Foot and Ankle Surgery Physician
  • Mogadore, OH
  • NPI 1033476908
  NPD (past)
• Partners Physician Group

  • Surgery Physician
  • Lodi, OH
  • NPI 1124067160
  NPD (past)
• Partners Physician Group

  dba Cardiac, Thoracic & Vascular Specialists

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Akron, OH
  • NPI 1144401464
  NPD (past)
• Partners Physician Group

  dba Akron General Express Care

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1184091621
  NPD (past)
• Partners Physician Group

  dba Cardiac, Thoracic & Vascular Specialists

  • Vascular Surgery Physician
  • Wooster, OH
  • NPI 1265700520
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1215043807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-6047",
            "fax_number": "330-344-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-6047",
            "fax_number": "330-344-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ELLIOT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542167",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "3600271",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGMC TYPE 2 NPI #",
            "identifier": "1821035940",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "0290886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Davenport
• David M. Raiffe DDS Mba (Kenmore Family Dental)
• Brandon Davidson
• Dalevon Davidson Sr.
• Dawn Davidson, LSW
• Garrett Davidson, PHARMD
• Joel R Davidson, M.D.
• Molly Davidson
• Timothy Robert Davidson, LSW
• Kerry Davies

• Family Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.

Verify at the official NPI Registry.