SAMANTHA MICHELLE DAVIDSON
NPI 1558823567
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since April 01, 2019PECOS Enrolled
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-5437 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Michelle Davidson NPPES

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

SAMANTHA MICHELLE DAVIDSON (NPI 1558823567) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).

NPPES Registry Identity

NPI1558823567
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA MICHELLE DAVIDSON
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (216) 844-5437
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
NPI 1558823567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
11100 EUCLID AVE, Cleveland, OH 44106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Michelle Davidson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961735428
PECOS Enrollment IDI20251016000894
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Davidson's NPI number?

The NPI number for Samantha Davidson is 1558823567. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Samantha Davidson located?

Samantha Davidson practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-5437.

What is Samantha Davidson's specialty?

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

Is Samantha Davidson enrolled in Medicare?

Yes. Samantha Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Davidson was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.