Michael Jay Davidson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME100460 Issued in FL

Practice address

5581 Coach House Circle
#A
Boca Raton, FL 33486-8676

Phone

(561) 347-0955

NPI assigned

Feb 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1982977047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 COACH HOUSE CIRCLE",
            "address_2": "#A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868676",
            "telephone_number": "561-347-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 COACH HOUSE CIRCLE",
            "address_2": "#A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868676",
            "telephone_number": "561-347-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Makover M D LLC
• David S Holland, Psy .D., P.a.
• David S Margolis MD PA
• David Schwartzwald MD PA
• Amanda Marie David, LMHC
• Richard Michael Davidson, D.C., C.S.C.S.
• Elaina Davies
• Rebecca G. Davis-Weeks, OTR
• Barry Leonard Davis, MD
• Christina Davis, FNP-C, APRN

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.