Joseph Davidson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0025887 Issued in MD

Practice address

Smallwood BLDG, Suite 204
2670 Crain Hwy
Waldorf, MD 20601

Phone

(301) 870-4342

Fax

(301) 870-4090

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Youssef Davoudzadeh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487767166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206040353",
            "telephone_number": "301-870-4342",
            "fax_number": "301-870-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SMALLWOOD BLDG, SUITE 204",
            "address_2": "2670 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-870-4342",
            "fax_number": "301-870-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0025887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUSSEF",
            "last_name": "DAVOUDZADEH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Damart Wheels, LLC
• Latia Dandridge
• Jennene Daniels, LCSW-C, BCD
• Ronald P Dapice, D.D.S.
• Pravati Das, M.D.
• Andrea Tanneh Davies, PMHNP-BC
• Alisia L Davis, LICSW
• Alyson K Davis, LMFT
• Austin Davis
• Bobby Davis

• Pediatrics Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.