Active NPI
Eileen Jo-Anne Davidson
- Physician Assistant
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112461
- Practice address
- 16470 NE 10TH Ave
North Miami Beach, FL 33162-3710 - Phone
- (305) 651-9988
- NPI assigned
- Sep 13, 2019
- Last updated
- Sep 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112461 | FL | Primary |
Addresses
Primary practice location
16470 NE 10TH Ave
North Miami Beach, FL 33162-3710
Mailing address
1898 Silverbell Ter
Weston, FL 33327-2362
Phone (954) 804-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabclinics Pta Inc
Practice addresses (Care Compare)
13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700
16470 NE 10TH Ave
North Miami Beach, FL 33162-3710
Phone (305) 651-9988
2209 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 966-5701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112461 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott R English MD PA | Family Medicine | Current | Accepting new patients |
| Knock Your Socks Off Foot & Ankle Specialist LLC | Past | Accepting new patients |
Locations
16470 NE 10th Ave
North Miami Beach, FL 33162
Phone (305) 651-9988
2209 N University Dr
Pembroke Pines, FL 33024
Phone (954) 966-5700
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- North Miami Beach, FL
- NPI 1073538187
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1629679402
-
- Family Medicine Physician
- Boynton Beach, FL
- NPI 1770851966
-
- Foot & Ankle Surgery Podiatrist
- North Miami Beach, FL
- NPI 1063920338
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weston, FL
- NPI 1659945038
-
- Home Health Agency
- Miami, FL
- NPI 1427295641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1649820424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1898 SILVERBELL TER",
"city": "WESTON",
"state": "FL",
"postal_code": "333272362",
"telephone_number": "954-804-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16470 NE 10TH AVE",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623710",
"telephone_number": "305-651-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "EILEEN",
"middle_name": "JO-ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.