Christie C. Davanzo, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

9901519 Issued in NC

Practice address

628 Green Valley Rd
Suite 210
Greensboro, NC 27408-7730

Phone

(336) 478-1016

Fax

(336) 851-1737

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Piedmont Neonatology PC

  • Neonatal-Perinatal Medicine Physician
  • Greensboro, NC
  • NPI 1386827335
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1689634792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GREEN VALLEY RD",
            "address_2": "SUITE 210",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087730",
            "telephone_number": "336-478-1016",
            "fax_number": "336-851-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 GREEN VALLEY RD",
            "address_2": "SUITE 210",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087730",
            "telephone_number": "336-478-1016",
            "fax_number": "336-851-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANZO",
        "first_name": "CHRISTIE",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "9901519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Dasnoit, PA-C
• Loryn Wilson Dass, MD
• Database Educational Program, Inc.
• Dorothy Marie Dator, MA
• Steven A Daub, M.D.
• Christy Denice Davenport, OTR
• Holly Davenport
• Kristi Davenport
• Sarah Jones Davenport, RN
• Sierra Davenport

• Neonatal-Perinatal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Neonatal-Perinatal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.