Heather O. Davidson, MD, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

212992 Issued in MA

Legal business name

HEATHER O. DAVIDSON, MD, LLC

Practice address

240 Bristol Rd
Wellesley, MA 02481-2613

Phone

(781) 237-7700

Fax

(781) 237-7703

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Heather Oppenheim Davidson, MD

Title

Co-Owner

Phone

(781) 237-7700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1770073264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BRISTOL RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812613",
            "telephone_number": "781-237-7700",
            "fax_number": "781-237-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BRISTOL RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812613",
            "telephone_number": "781-237-7700",
            "fax_number": "781-237-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER O. DAVIDSON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "OPPENHEIM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "781-237-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "212992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.