Organization Active NPI

Florence Davidovski, M. D.,P.a.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1649509746
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0033449 Issued in MD
Legal business name
FLORENCE DAVIDOVSKI, M. D.,P.A.
Practice address
3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281
Phone
(410) 646-5869
Fax
(410) 646-5869
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. Florence Davidovski, M.D.
Title
President/Owner
Phone
(410) 646-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0033449 MD Primary

Addresses

Primary practice location

3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281

Mailing address

3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281
Phone (410) 646-5869

Other identifiers 1

IdentifierTypeStateIssuer
549791400MedicaidMD

National Provider Directory

National Provider Directory

Locations

3449 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone 41029685852

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1649509746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "410-646-5869",
            "fax_number": "410-646-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "410-646-5869",
            "fax_number": "410-646-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE DAVIDOVSKI, M. D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDOVSKI",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-646-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0033449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549791400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.