DR. MICHAEL STEPHEN DAVENPORT M.D.
NPI 1447670724
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Michael Davenport's NPI number?

The NPI number for Michael Davenport is 1447670724. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Q: What is Michael Davenport's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Davenport was last updated on June 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2014PECOS Enrolled

3400 SPRUCE ST, 100 CENTREX, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: June 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael Stephen Davenport M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL STEPHEN DAVENPORT M.D. (NPI 1447670724) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT205749) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447670724

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MICHAEL STEPHEN DAVENPORTCredential: M.D.

Location Address3400 SPRUCE ST, 100 CENTREXPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce St, 100 CentrexPhiladelphia, PA 19104-4238

Phone(215) 662-4000

Sole ProprietorYes

Enumeration DateApril 24, 2014

Last NPPES UpdateJune 29, 2014

✔ NPI 1447670724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in PA · MT205749

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Stephen Davenport M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.