Richard D Davenport MD and Associates, SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RICHARD D DAVENPORT MD AND ASSOCIATES, SC

Practice address

3033 W Layton Ave Ste 101
Greenfield, WI 53221-2628

Phone

(414) 279-5579

Fax

(414) 249-3299

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Richard Drake Davenport, MD

Title

President

Phone

(414) 328-8762

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Becker Coran, MD

  • Ophthalmology Physician
  • Greenfield, WI
  • NPI 1518951136
  Medicare reassignment Care Compare group NPD
• Amy M Moschell, MD

  • Ophthalmology Physician
  • Greenfield, WI
  • NPI 1679575823
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1699710434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W LAYTON AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212628",
            "telephone_number": "414-279-5579",
            "fax_number": "414-249-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W LAYTON AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212628",
            "telephone_number": "414-279-5579",
            "fax_number": "414-249-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 S 90th St",
            "address_2": "Suite 506",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272455",
            "country_code": "US",
            "telephone_number": "414-328-8760",
            "fax_number": "414-328-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD D DAVENPORT MD AND ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DRAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-328-8762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "19876",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21300200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD",
            "identifier": "CC8272",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reichert & Kelsey Prosthetics Orthotics, LLC
• Casey E Reis, NP
• Terry Rex, PT
• Joseph Roel Reyes, DO
• Claire H Rice, PSYD
• Latischa Charmay Riley-Coleman
• Samantha Ringwolski
• Joan Riopel, PTA
• Carissa Riske
• Rite Now Phlebotomy & Specimen Collection LLC

• Ophthalmology Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.