Orin Leonard Davidson III, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD007594 Issued in TN

Practice address

1324 Wolf Park Dr
Germantown, TN 38138-1741

Phone

(901) 755-9110

Fax

(901) 755-4321

NPI assigned

Nov 2, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619968294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 WOLF PARK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381741",
            "telephone_number": "901-755-9110",
            "fax_number": "901-755-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 WOLF PARK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381741",
            "telephone_number": "901-755-9110",
            "fax_number": "901-755-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ORIN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD007594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Baker Darlington, DDS
• Darrell G. Croft, DPM
• Serene Darwish, OD
• Charmai Marilyn Davalos
• Nita A Davidson, FNP
• Carolyn James Davis
• Dana Nichole Davis, RN
• Darel Louis Davis, APN, FNP-C
• Edward Charles Davis, MD
• James R Davis, NP

• Gastroenterology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.