Mark E. Daviosn DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

MARK E. DAVIOSN DPM

Practice address

315 S Allen St
Suite 118
State College, PA 16801-4849

Phone

(814) 237-2204

Fax

(814) 237-9611

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Davison, MDNPI 1134187990

Title

Owner

Phone

(814) 237-2204

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Ellison Davison, DPM

  • Podiatrist
  • State College, PA
  • NPI 1134187990
  NPD (past) Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1518197763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST",
            "address_2": "SUITE 118",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014849",
            "telephone_number": "814-237-2204",
            "fax_number": "814-237-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST",
            "address_2": "SUITE 118",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014849",
            "telephone_number": "814-237-2204",
            "fax_number": "814-237-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. DAVIOSN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-237-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica K Marden, M.D.
• Bryan James Margaria, DO
• Damian Mariano
• Amanda G Marin, PA-C
• Katherine McCullough Marion, MA, CCC-SLP
• Alysa Markel
• Shannon Marker, CRNP
• Donald M Marks, D.M.D.
• Ellis Eugene Marsh, M.D.
• Kimberly O Marsh, PT

• Foot Surgery Podiatrist in State College, PA
• Providers in State College, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.