Davishire Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DAVISHIRE DERMATOLOGY LLC

Doing business as

Davishire Dermatology

Practice address

1900 Patterson St Ste 205
Nashville, TN 37203-2165

Phone

(615) 329-0341

Fax

(615) 329-3056

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David H Horowitz, MDNPI 1225089097

Title

Owner

Phone

(615) 329-0341

Specialties & licenses 1

Addresses

Other names 1

• Davishire Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Harvey Horowitz, M.D.

  • Dermatology Physician
  • Nashville, TN
  • NPI 1225089097
  Medicare reassignment Care Compare group NPD Authorized official
• Holly A Tucker, N.P.

  • Adult Health Nurse Practitioner
  • Nashville, TN
  • NPI 1437100195
  Medicare reassignment Care Compare group NPD
• Jessica Woodard, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1265887780
  Medicare reassignment Care Compare group NPD
• Tejaswi Venkata Mudigonda, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1891143277

  Dermatology, TN

  Medicare reassignment Care Compare group NPD
• Titay Belayneh Ayano

  • Physician Assistant
  • Nashville, TN
  • NPI 1487354684
  Medicare reassignment Care Compare group
• Cassandra Brownson Grieb, PA-C

  • Medical Physician Assistant
  • Nashville, TN
  • NPI 1710231311
  Medicare reassignment Care Compare group
• Evan Wayne Hatfill, PA-C

  • Medical Physician Assistant
  • Nashville, TN
  • NPI 1679175996
  Medicare reassignment Care Compare group
• Trisha Marie Bush, PA

  • Physician Assistant
  • Nashville, TN
  • NPI 1518537133
  Medicare reassignment
• Bailey Chitwood, PA-C

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1912544669
  Medicare reassignment

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1811648066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032165",
            "telephone_number": "615-329-0341",
            "fax_number": "615-329-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032165",
            "telephone_number": "615-329-0341",
            "fax_number": "615-329-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISHIRE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-329-0341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davishire Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valaria Tashae Davis
• Virginia Ann Davis
• William G Davis, MD
• William P Davis, D.D.S.
• Za'Niya Davis
• Cheryl Davison, CRNA
• James L Davison, M.D.
• Jenna Davitt, LCSW
• Giovanni Ernesto Davogustto Cataldo, M.D.
• Lisa Davy, RN

• Dermatology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.