Active NPI
Patrick Joseph Davidson, CRNA
- Certified Registered Nurse Anesthetist
- Fort Harrison, MT
National Provider Identifier
1922344134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NUR-APRN-LIC-146076
- Practice address
- 3687 Veterans Dr
Fort Harrison, MT 59636-9700 - Phone
- (210) 204-8010
- NPI assigned
- Dec 14, 2012
- Last updated
- Nov 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NUR-APRN-LIC-146076 | MT | Primary |
Addresses
Primary practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Mailing address
4232 Lombardy Dr
Helena, MT 59601-9603
Phone (210) 204-8010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-146076 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
333 W Hampden Ave
Ste 600
Englewood, CO 80110
Phone (303) 761-5646
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1922344134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4232 LOMBARDY DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596019603",
"telephone_number": "210-204-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 VETERANS DR",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "596369700",
"telephone_number": "210-204-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-14",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-APRN-LIC-146076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.