Active NPI
David J Davin, M.D.
- Pulmonary Disease Physician
- Syracuse, NY
National Provider Identifier
1629049002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1388971
- Practice address
- 1000 E Genesee St
Suite 402
Syracuse, NY 13210-1892 - Phone
- (315) 475-5864
- Fax
- (315) 475-6879
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 1388971 | NY | Primary |
Addresses
Primary practice location
1000 E Genesee St
Suite 402
Syracuse, NY 13210-1892
Mailing address
1000 E Genesee St
Suite 402
Syracuse, NY 13210-1892
Phone (315) 475-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00782641 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031113000220 | NY | Practitioner - Pulmonary Disease | 2466366620 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1388971 | NY | MD | Pulmonary Disease Physician |
Interoperability endpoints
- ddavin@hiemail.healtheconnections.org
- daviddavinmdpllc@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1629049002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 402",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-475-5864",
"fax_number": "315-475-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 402",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-475-5864",
"fax_number": "315-475-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIN",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "1388971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00782641",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.