Active NPI
Alex Davenport MD PC
- Obstetrics & Gynecology Physician
- Tallahassee, FL
National Provider Identifier
1669666764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME25681
- Legal business name
- ALEX DAVENPORT MD PC
- Practice address
- 2418 E Plaza Drive
Tallahassee, FL 32308-5301 - Phone
- (850) 656-1997
- Fax
- (850) 656-1936
- NPI assigned
- Aug 31, 2007
- Organization subpart
- Yes
- Parent organization
- ALEX DAVENPORT MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Ryan Davenport
- Title
- Office Manager
- Phone
- (850) 656-1997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME25681 | FL | Primary |
Addresses
Primary practice location
2418 E Plaza Drive
Tallahassee, FL 32308-5301
Mailing address
PO Box 14266
Tallahassee, FL 32317-4266
Phone (850) 656-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059400800 | Medicaid | FL |
Other names 1
- James Alexander Davenport MD
National Provider Directory
National Provider Directory- Part of
- James a Davenport
Locations
2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Tallahassee, FL
- NPI 1487607586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1669666764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14266",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323174266",
"telephone_number": "850-656-1997",
"fax_number": "850-656-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 E PLAZA DRIVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085301",
"telephone_number": "850-656-1997",
"fax_number": "850-656-1936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX DAVENPORT MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALEX DAVENPORT MD PC",
"enumeration_date": "2007-08-31",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-656-1997"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME25681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059400800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "James Alexander Davenport MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.