Christopher Davenport MD Mba PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0087596 Issued in FL

Legal business name

CHRISTOPHER DAVENPORT MD MBA PA

Practice address

207 Palmola St
Lakeland, FL 33803-2242

Phone

(863) 646-9600

Fax

(330) 422-6245

NPI assigned

Mar 10, 2008

Last updated

Nov 24, 2020By 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. Christopher Vernon Davenport, M.D.NPI 1356347702

Title

President

Phone

(863) 646-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Christopher Vernon Davenport, M.D.

  • Psychiatry Physician
  • Lakeland, FL
  • NPI 1356347702
  Medicare reassignment NPD Authorized official
• Benjamin Elliot Lippmann, D.O.

  • Psychiatry Physician
  • Lakeland, FL
  • NPI 1902141773
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1528238201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PALMOLA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032242",
            "telephone_number": "863-646-9600",
            "fax_number": "330-422-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PALMOLA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032242",
            "telephone_number": "863-646-9600",
            "fax_number": "330-422-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER DAVENPORT MD MBA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-646-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0087596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Choate, D.C
• Harish M Chokshi, MD
• Orestes Chongo Pedroso
• Christine H Christensen, APRN
• Rebecca Christian, LMHC
• Chukwuka C Okafor, MD, Mba, PA (Spine Institiure of Central Florida)
• Constance Oleita Chunn, NP
• Robert J Ciccone, LMT
• Cynthia Lynn Cinquanti, PT
• Maria Ines Cintron Torres

• Psychiatry Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.