Active NPI
Gerard M Davidson, DO
- Family Medicine Physician
- Dyer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02000745A
- Practice address
- 840 Richard Rd Ste 2
Dyer, IN 46311-1994 - Phone
- (219) 322-1450
- Fax
- (219) 322-8260
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02000745A | IN | Primary |
Addresses
Primary practice location
840 Richard Rd Ste 2
Dyer, IN 46311-1994
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 100200710 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdavidson4709@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
840 Richard Rd
Suite 2
Dyer, IN 46311-1994
Phone (219) 322-1450
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Dyer
- Franciscan Health Munster
- Franciscan Health Crown Point
- Community Hospital
- Franciscan Health Michigan City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| St Margaret Mercy Healthcare Centers, Inc. | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers Inc | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | Past | Accepting new patients |
| Anthony M Grimaldi, DO PC | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers Inc | Family Medicine | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers, Inc. | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers, Inc. | Past | Accepting new patients |
Locations
35682 Eagle Way
Chicago, IL 60678
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
840 Richard Rd
Dyer, IN 46311
Phone (219) 322-1450
840 Richard Rd
Ste 3
Dyer, IN 46311
Phone (219) 322-1450
840 Richard Rd
Ste 2
Dyer, IN 46311
Phone (219) 322-1450
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
10860 Maple Ln
Saint John, IN 46373
Phone (219) 365-7000
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- gdavidson4709@direct.franciscanalliance.org
Organizations & group practices 17
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.
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-
- Clinic/Center
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- NPI 1992543250
-
- Urology Physician
- Dyer, IN
- NPI 1982755997
-
- Family Medicine Physician
- Dyer, IN
- NPI 1457421836
-
- Family Medicine Physician
- Saint John, IN
- NPI 1659448314
-
- Family Medicine Physician
- Dyer, IN
- NPI 1972682581
-
- Family Medicine Physician
- Schererville, IN
- NPI 1720157779
-
- Pediatrics Physician
- Dyer, IN
- NPI 1962572354
Family Medicine
-
- Obstetrics & Gynecology Physician
- Hammond, IN
- NPI 1073685970
-
- Pediatrics Physician
- Munster, IN
- NPI 1639258114
-
- Family Medicine Physician
- Griffith, IN
- NPI 1689746000
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- Home Health Agency
- Hobart, IN
- NPI 1144225491
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1689666240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 RICHARD RD STE 2",
"city": "DYER",
"state": "IN",
"postal_code": "463111994",
"telephone_number": "219-322-1450",
"fax_number": "219-322-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "GERARD",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02000745A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100200710",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdavidson4709@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "840 Richard Rd Ste 2",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "463111994",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.