Active NPI
Andrew C Davidson, M.D.
- Cardiovascular Disease Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 52639
- Practice address
- 19 Woodland St
Suite 35
Hartford, CT 06105-2372 - Phone
- (860) 525-1234
- Fax
- (860) 278-8782
- NPI assigned
- Mar 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 52639 | CT | Primary |
Addresses
Primary practice location
19 Woodland St
Suite 35
Hartford, CT 06105-2372
Mailing address
19 Woodland St
Suite 35
Hartford, CT 06105-2372
Phone (860) 525-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Columbia University College of Physicians and Surgeons, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLean Fund
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
19 Woodland St
Suite 43
Hartford, CT 06105-2335
Phone (860) 633-0500
381 Hopmeadow St
Suite 304
Weatogue, CT 06089-9697
Phone (860) 651-4358
75 Great Pond Rd
Simsbury, CT 06070-1980
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Cardiovascular Disease | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients |
Locations
1699 King St
Ste 404
Enfield, CT 06082
Phone (860) 651-4358
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
19 Woodland St
Ste 45
Hartford, CT 06105
Phone (860) 527-1669
19 Woodland St
Ste 35
Hartford, CT 06105
Phone 20321768760
Interoperability endpoints
- adavidson2377203@direct.trinity-health.org
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.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Cardiovascular Disease
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1255503769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WOODLAND ST",
"address_2": "SUITE 35",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052372",
"telephone_number": "860-525-1234",
"fax_number": "860-278-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WOODLAND ST",
"address_2": "SUITE 35",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052372",
"telephone_number": "860-525-1234",
"fax_number": "860-278-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "ANDREW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "52639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.