Active NPI
Sasha M. Davidson, LLC
- Maternal & Fetal Medicine Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sasha M Davidson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017611500 | Medicaid | FL |
Other names 1
- Signature Perinatal Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2161266 | Signature Perinatal, LLC | Certificate of waiver | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Maternal & Fetal Medicine Physician
- Fort Lauderdale, FL
- NPI 1407992167
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.