Organization Active NPI

Sasha M. Davidson, LLC

  • Maternal & Fetal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1477022663
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
SASHA M. DAVIDSON, LLC
Practice address
2151 E Commercial Blvd Ste 202
Fort Lauderdale, FL 33308-3807
Phone
(954) 900-6228
Fax
(580) 279-1132
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Sasha M Davidson, MDNPI 1407992167
Title
Owner/Medical Director
Phone
(202) 276-8068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

2151 E Commercial Blvd Ste 202
Fort Lauderdale, FL 33308-3807

Mailing address

401 E Las Olas Blvd Ste 130-415
Fort Lauderdale, FL 33301-2210
Phone (202) 276-8068

Other identifiers 1

IdentifierTypeStateIssuer
017611500MedicaidFL

Other names 1

  • Signature Perinatal Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2161266Signature Perinatal, LLC2151 E Commercial Blvd Ste 202, Fort Lauderdale, FL 33308Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

401 E Las Olas Blvd
Ste 130415
Fort Lauderdale, FL 33301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1477022663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LAS OLAS BLVD STE 130-415",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012210",
            "telephone_number": "202-276-8068",
            "fax_number": "580-279-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-900-6228",
            "fax_number": "580-279-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA M. DAVIDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-276-8068",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017611500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Perinatal Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.