Iyooh Uchechuwu Davidson, M.D

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

T0762 Issued in TX

Practice address

1650 W Rosedale St Ste 301
Ft Worth, TX 76104-7400

Phone

(682) 610-5670

Fax

(817) 348-0087

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Orthopedic Surgery

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idavidson1793950@direct.texashealth.org

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.

• Arlington Neurosurgeons, PLLC

  • Neurological Surgery Physician
  • McKinney, TX
  • NPI 1609285170
  Medicare reassignment Care Compare group NPD

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

• Columbia North Hills Hospital Subsidiary LP

  • General Acute Care Hospital
  • North Richland Hills, TX
  • NPI 1518911833
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1326434770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938172",
            "telephone_number": "972-608-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST STE 301",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "682-610-5670",
            "fax_number": "817-348-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "IYOOH UCHECHUWU",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "T0762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "T0762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fang S David, MD
• James K David, MD
• Perry NMN David, NP
• Bianca Davidson
• Clarissa Yuvonne Davidson
• Jenifer Rena Davidson, APRN, FNP-BC
• Karen Davidson, FNP
• Kyle Davidson, AGACNP-BC
• Nettie Nichole Davidson, M.D.
• Rebecca Nicole Davidson, COTA

• Orthopaedic Surgery of the Spine Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.