Individual
JON C DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35-082066
OH
207UN0901X
Nuclear Cardiology Physician
35-082066
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35-082066
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35-082066
OH
2085B0100X
Body Imaging Physician
35-082066
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35-082066
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35-082066
OH
2085N0700X
Neuroradiology Physician
35-082066
OH
2085N0904X
Nuclear Radiology Physician
35-082066
OH
2085P0229X
Pediatric Radiology Physician
35-082066
OH
2085R0001X
Radiation Oncology Physician
35-082066
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35-082066
OH
2085R0203X
Therapeutic Radiology Physician
35-082066
OH
2085R0204X
Vascular & Interventional Radiology Physician
35-082066
OH
2085U0001X
Diagnostic Ultrasound Physician
35-082066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019710510005
—
PA
05
—
2364543
—
OH
01
—
P00668456
RAILROAD MEDICARE
OH
Enumeration date
04/13/2006
Last updated
06/29/2011
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