Organization Active NPI

Alex Davenport MD PC

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1669666764
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME25681 Issued in FL
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
059400800MedicaidFL

Other names 1

  • James Alexander Davenport MD Doing business as

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.

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.

Verify at the official NPI Registry.