Active NPI
William Davidson, M.D.
- Pulmonary Disease Physician
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D14747
- Practice address
- 12502 Willowbrook Rd
Cumberland, MD 21502-6491 - Phone
- (240) 964-8720
- NPI assigned
- Apr 17, 2006
- Last updated
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D14747 | MD | |
| Pulmonary Disease Physician | 207RP1001X | 51208 | SC | |
| Pulmonary Disease Physician | 207RP1001X | D14747 | MD | Primary |
| Hospitalist Physician | 208M00000X | D0014147 | MD |
Addresses
Primary practice location
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Mailing address
305 Hospital Dr
Suite 305 Tate Center
Glen Burnie, MD 21061-5805
Phone (410) 768-3701
Other practice location 1
400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Phone (803) 296-3273
Other practice location 2
305 Hospital Dr
Suite 305 Tate Center
Glen Burnie, MD 21061-5805
Phone (410) 768-3701
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY91LU-30866003 | Other | CAREFIRST BCBS MD | |
| 512083 | Medicaid | SC | |
| 220031700 | Medicaid | MD | |
| J466-0001 | Other | CAREFIRST BCBS DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Maryland School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14747 | MD | MD | Pulmonary Disease Physician |
| D0014147 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Medical Center Inc. | Critical Care Medicine | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Pulmonary Disease | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Critical Care Medicine | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Norton Community Physicians Services LLC | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Critical Care Medicine | Current | Accepting new patients |
| Norton Community Physician Services LLC | Current | Accepting new patients | |
| Norton Community Physician Services LLC | Pulmonary Disease | Current | Accepting new patients |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Pulmonary Disease | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724
12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750
219 S Washington St
Easton, MD 21601
300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
305 Hospital Dr
Ste 305
Glen Burnie, MD 21061
Phone (410) 553-8240
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
98 15th St NW
Ste 207A
Norton, VA 24273
Phone (276) 439-1490
98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600
Interoperability endpoints
- wdavidson@ccmgclinics.gwaydirect.com
- wdavidson20922@direct.umm.edu
- williamdavidson@arh.medalliesdirect.net
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Critical Care Medicine
-
dba UPMC Western Maryland
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
Critical Care Medicine
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
Pulmonary Disease
-
- Anatomic Pathology & Clinical Pathology Physician
- Glen Burnie, MD
- NPI 1740469774
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
Critical Care Medicine
-
dba The Right Fit at Baltimore Washington Medical Center
- Customized Equipment (DME)
- Glen Burnie, MD
- NPI 1881799344
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Pulmonary Disease
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1851355614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HOSPITAL DR",
"address_2": "SUITE 305 TATE CENTER",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615805",
"telephone_number": "410-768-3701",
"fax_number": "410-766-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12502 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026491",
"telephone_number": "240-964-8720"
}
],
"practiceLocations": [
{
"address_1": "400 Palmetto Health Pkwy",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121760",
"country_code": "US",
"telephone_number": "803-296-3273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 Hospital Dr",
"address_2": "Suite 305 Tate Center",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210615805",
"country_code": "US",
"telephone_number": "410-768-3701",
"fax_number": "410-766-0881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D14747",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "51208",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D14747",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0014147",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS MD",
"identifier": "KY91LU-30866003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "512083",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220031700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS DC",
"identifier": "J466-0001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.