Active NPI
Michael S Davidson, PA
- Physician Assistant
- Salisbury, MD
National Provider Identifier
1518975929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002965
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 543-7536
- Fax
- (410) 543-7272
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002965 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
Peninsula Regional Medical Center
100 East Carroll St
Salisbury, MD 21801-5493
Phone (410) 543-7536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002965 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1518975929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PENINSULA REGIONAL MEDICAL CENTER",
"address_2": "100 EAST CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015493",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.