Individual provider Active NPI

Cheryl Davison, MD

  • Radiation Oncology Physician
  • Yakima, WA
National Provider Identifier
1396824595
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00042867 Issued in WA
Practice address
808 N 39TH Ave
Yakima, WA 98902-6388
Phone
(509) 574-3500
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00042867 WA Primary

Addresses

Primary practice location

808 N 39TH Ave
Yakima, WA 98902-6388

Mailing address

PO Box 1272
Yakima, WA 98907-1272
Phone (509) 480-0971

Other identifiers 1

IdentifierTypeStateIssuer
8365678MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110825000173 WA Practitioner - Radiation Oncology 7618147885 Reassigns benefits to 1 organization
I20211011001512 MI Practitioner - Radiation Oncology 7618147885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Michigan State University College of Human Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Radiology of Yakima PLLCGroup PAC ID 7113818634, 2 clinicians

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-3922

808 N 39TH Ave
Yakima, WA 98902-6388
Phone (509) 574-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Aug 31, 2021 Accepting new patients
Therapeutic Radiology of Yakima PLLC Radiation Oncology CurrentSince Nov 1, 2003 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 31, 2021 Accepting new patients

Locations

710 S Lincoln Rd
Ste 400
Escanaba, MI 49829
Phone (906) 233-9363

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1414 W Fair Ave
Ste 332
Marquette, MI 49855
Phone (906) 225-3910

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

808 N 39th Ave
Yakima, WA 98902
Phone (509) 574-3400

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1396824595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989071272",
            "telephone_number": "509-480-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026388",
            "telephone_number": "509-574-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00042867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8365678",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.