Active NPI
David J Davin MD PLLC
- Pulmonary Disease Physician
- Syracuse, NY
National Provider Identifier
1467713149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 138897
- Legal business name
- DAVID J DAVIN MD PLLC
- Practice address
- 1000 E Genesee St
Suite 204
Syracuse, NY 13210-1892 - Phone
- (315) 475-5864
- Fax
- (315) 475-6879
- NPI assigned
- May 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David John Davin, M.D.
- Title
- Owner
- Phone
- (315) 475-5864
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 138897 | NY | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 138897 | NY |
Addresses
Primary practice location
1000 E Genesee St
Suite 204
Syracuse, NY 13210-1892
Mailing address
1000 E Genesee St
Suite 204
Syracuse, NY 13210-1892
Phone (315) 475-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00782641 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1000 E Genesee St
Ste 204
Syracuse, NY 13210
Phone (315) 475-5864
Interoperability endpoints
- https://api.platform.athenahealth.com/5991/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340928000000",
"number": "1467713149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-475-5864",
"fax_number": "315-475-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-475-5864",
"fax_number": "315-475-6879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J DAVIN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-30",
"last_updated": "2012-06-29",
"status": "A",
"authorized_official_last_name": "DAVIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-475-5864",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "138897",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NY",
"license": "138897",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00782641",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.