Individual provider Active NPI

John Albert Davidson, MD

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1306833801
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8881 Issued in MO
Practice address
232 S Woods Mill Rd
Division of Hyperbaric Medicine & Problem Wound MGMT
Chesterfield, MO 63017-3417
Phone
(314) 205-6818
Fax
(314) 205-6770
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8881 MO Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X R8881 MO

Addresses

Primary practice location

232 S Woods Mill Rd
Division of Hyperbaric Medicine & Problem Wound MGMT
Chesterfield, MO 63017-3417

Mailing address

PO Box 929
Chesterfield, MO 63006-0929
Phone (314) 205-6818

Other identifiers 7

IdentifierTypeStateIssuer
35170OtherMOGROUP HEALTH PLAN
4409OtherMOCARE MGMT RESOURCES
7600560OtherMOUNITED HEALTHCARE MIDWEST
7992OtherMOBLUE SHIELD MO
A09884OtherMOMERCY HEALTH PLAN
105889OtherMOHEALTHLINK PPO
35583OtherMOBLUE SHIELD MO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20100226000817 MO Practitioner - Internal Medicine 1052456209 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306833801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630060929",
            "telephone_number": "314-205-6818",
            "fax_number": "314-205-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "address_2": "DIVISION OF HYPERBARIC MEDICINE & PROBLEM WOUND MGMT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6818",
            "fax_number": "314-205-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8881",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "R8881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "35170",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE MGMT RESOURCES",
            "identifier": "4409",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MIDWEST",
            "identifier": "7600560",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MO",
            "identifier": "7992",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "A09884",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PPO",
            "identifier": "105889",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MO",
            "identifier": "35583",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.