Individual provider Active NPI

James P Davidson, D.O.

  • Family Medicine Physician
  • Clearfield, PA
National Provider Identifier
1851342760
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OSOO5O55L Issued in PA
Practice address
502 Park Ave
Clearfield, PA 16830-2100
Phone
(814) 765-1521
Fax
(814) 765-7756
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OSOO5O55L PA Primary

Addresses

Primary practice location

502 Park Ave
Clearfield, PA 16830-2100

Mailing address

502 Park Ave
Clearfield, PA 16830-2100
Phone (814) 765-1521

Other identifiers 1

IdentifierTypeStateIssuer
0010422200001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20060802000471 PA Practitioner - Emergency MedicinePractitioner - Family Practice 7012920325 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OSOO5O55LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Mar 6, 2017 Accepting new patients
Upmc Altoona Regional Health Services, Inc Family Medicine CurrentSince Mar 6, 2017 Accepting new patients
Caring Healthcare Network Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Caring Healthcare Network CurrentSince Mar 1, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Cardiac Daignostic Inc. PastSince Mar 1, 2019 Accepting new patients

Locations

2612 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 944-9355

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1851342760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PARK AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302100",
            "telephone_number": "814-765-1521",
            "fax_number": "814-765-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 PARK AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302100",
            "telephone_number": "814-765-1521",
            "fax_number": "814-765-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OSOO5O55L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010422200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.