Charles J Davenport, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME60801 Issued in FL

Practice address

512 Nokomis Ave S
Venice, FL 34285-2817

Phone

(941) 488-7781

Fax

(941) 486-8991

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

University of Florida College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Venice and Englewood PAGroup PAC ID 8729039292, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.84 of 100Reported as group

Quality

95

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Radiology Associates of Venice and Englewood PA

  • Diagnostic Radiology Physician
  • Venice, FL
  • NPI 1508803966
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Tallahassee PA

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1003866773
  Medicare reassignment NPD
• Southeast Radiology Partners LTD

  dba Radiology Associates of Tallahassee

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1932799814
  Medicare reassignment NPD
• Tallahassee Diag Imaging Ctr LTD

  dba Tallahassee Diagnostic Imaging LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1639129521
  Medicare reassignment NPD
• Charles Davenport MD PA

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1043459811
  NPD (past) Authorized official
• Charlotte Resources Inc

  dba The MRI Center of Charlotte County

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1659364743
  NPD (past)
• Morgan Medical Corp

  dba Sarasota Outpatient MRI and Diagnostic Ctr

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1013900034
  NPD (past)
• Morgan Medical Corp

  dba MRI of North Brevard

  • Diagnostic Radiology Physician
  • Titusville, FL
  • NPI 1679566756
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1730116872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841508",
            "telephone_number": "941-488-7781",
            "fax_number": "941-484-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852817",
            "telephone_number": "941-488-7781",
            "fax_number": "941-486-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME60801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262992500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Daniel, CRNA
• Jeffrey A Dash, D.O.
• Anjanette Daugherty, MS, LPC, LMHC
• Dave & Irene White Inc. (Mobility Express)
• Deven Dave, M.D.
• Charles Robert Davenport, PSY.D
• David W Haber DO PA (Chronic Pain Treatment Center)
• Davis and Beyer Dental Health Professionals (Davis and Beyer DDS PA)
• Amanda Davis, PHARM.D.
• Caryn N Davis, DDS

• Diagnostic Radiology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
• 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.

Verify at the official NPI Registry.