Individual provider Active NPI

William Davidson, M.D.

  • Pulmonary Disease Physician
  • Cumberland, MD
National Provider Identifier
1851355614
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D14747 Issued in MD
Practice address
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone
(240) 964-8720
NPI assigned
Apr 17, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
KY91LU-30866003OtherCAREFIRST BCBS MD
512083MedicaidSC
220031700MedicaidMD
J466-0001OtherCAREFIRST BCBS DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051031000579 MD Practitioner - Pulmonary Disease 1456378272 Reassigns benefits to 4 organizations
I20210818002077 VA Practitioner - Pulmonary Disease 1456378272 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
D14747MDMDPulmonary Disease Physician
D0014147MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Medical Center Inc. Critical Care Medicine Current Accepting new patients
Upmc Western Maryland Health Services, LLC Pulmonary Disease CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 1, 2020 Accepting new patients
Upmc Western Maryland Corporation Critical Care Medicine Current Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Norton Community Physicians Services LLC CurrentSince Sep 1, 2021 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 8, 2018 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Aug 1, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 8, 2018 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Baltimore Washington Medical Center Inc. Critical Care Medicine CurrentSince Sep 1, 2005 Accepting new patients
Norton Community Physician Services LLC CurrentSince Sep 1, 2021 Accepting new patients
Norton Community Physician Services LLC Pulmonary Disease Current Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Sep 1, 2005 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

  • Direct secure messaging: wdavidson@ccmgclinics.gwaydirect.com
  • Direct secure messaging: wdavidson20922@direct.umm.edu
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.