Mark E Davisson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01036929 Issued in IN

Practice address

152 Wittenbraker Ave
New Castle, IN 47362-5000

Phone

(765) 599-3100

Fax

(765) 518-5365

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mdavisson@hcmh.cernerdirect.com

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1871689117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-1516",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WITTENBRAKER AVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625000",
            "telephone_number": "765-599-3100",
            "fax_number": "765-518-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624320",
            "country_code": "US",
            "telephone_number": "765-529-0780",
            "fax_number": "765-529-3554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Forest Ridge Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473622943",
            "country_code": "US",
            "telephone_number": "765-599-3400",
            "fax_number": "765-599-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISSON",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100135170",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavisson@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "152 Wittenbraker Ave",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473625000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindi Jean Davis, FNP-C
• Matthew Davis, MSW
• Michael Shane Davis, MSW
• Andrew Mark Davisson, M.D.
• John Lawrence Davisson, M.D.
• Rebecca S. Davisson, M.D.
• Melinda Detar, LMHC
• Diane Detering
• Jordan E Dicken
• David A. Dickey, D.D.S.

• Internal Medicine Physician in New Castle, IN
• Providers in New Castle, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.