Active NPI
Roderick Garfield Davis, M.D.
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1679557128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 207792-1
- Practice address
- 1700 Hudson Ave
Rochester, NY 14617-5104 - Phone
- (585) 342-5694
- Fax
- (585) 342-2345
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 207792-1 | NY | Primary |
Addresses
Primary practice location
1700 Hudson Ave
Rochester, NY 14617-5104
Mailing address
1700 Hudson Avenue
Rochester, NY 14617
Phone (585) 342-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207792-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Past | Accepting new patients | |
| Portland Pediatric Group, LLP | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rdavis13986@direct.rochesterregional.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Rochester, NY
- NPI 1174745285
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1679557128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HUDSON AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14617",
"telephone_number": "585-342-5694",
"fax_number": "585-342-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HUDSON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175104",
"telephone_number": "585-342-5694",
"fax_number": "585-342-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RODERICK",
"middle_name": "GARFIELD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "207792-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.