Active NPI
Deanna S Davidson, M.D.
- Radiation Oncology Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35125742
- Practice address
- 803 W Market St Ste 100
Lima, OH 45805-2796 - Phone
- (419) 996-5063
- Fax
- (419) 996-5502
- NPI assigned
- Apr 22, 2006
- Last updated
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 62935 | MN | |
| Radiation Oncology Physician | 2085R0001X | 015342 | TN | |
| Radiation Oncology Physician | 2085R0001X | 4301111121 | MI | |
| Radiation Oncology Physician | 2085R0001X | 35125742 | OH | Primary |
Addresses
Primary practice location
803 W Market St Ste 100
Lima, OH 45805-2796
Mailing address
PO Box 15035
Chattanooga, TN 37415-0035
Other practice location 1
2895 Stuart Ter
Chattanooga, TN 37415-6106
Phone (423) 875-5195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN, AZ, TN, OH, IA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 Kinneys LN
Portsmouth, OH 45662-2806
Phone (740) 356-7490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35125742 | OH | MD | Radiation Oncology Physician |
| 015342 | TN | MD | Radiation Oncology Physician |
Practice roles
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
29980 Network Pl
Chicago, IL 60673
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
803 W Market St
Ste 100
Lima, OH 45805
Phone (419) 996-5063
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
1121 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 356-7490
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
3401 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2000
Interoperability endpoints
- ddavidson172588@direct.bsmhealth.org
- ddavidson50801@sih.direct-ci.com
Organizations & group practices 19
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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
Radiation Oncology
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
Radiation Oncology
-
dba Cookeville Regional Medical Center Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Cookeville, TN
- NPI 1639293483
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1457317075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15035",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374150035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 W MARKET ST STE 100",
"city": "LIMA",
"state": "OH",
"postal_code": "458052796",
"telephone_number": "419-996-5063",
"fax_number": "419-996-5502"
}
],
"practiceLocations": [
{
"address_1": "2895 Stuart Ter",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374156106",
"country_code": "US",
"telephone_number": "423-875-5195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "DEANNA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MN",
"license": "62935",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "015342",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301111121",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35125742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.