WARREN K. DAVIDSON D.O.
NPI 1790948164
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Q: What is Warren Davidson's NPI number?

The NPI number for Warren Davidson is 1790948164. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Warren Davidson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Warren Davidson was last updated on November 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2008PECOS Enrolled

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-9000 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Warren K. Davidson D.o. NPPES

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

WARREN K. DAVIDSON D.O. (NPI 1790948164) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (OS12714) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790948164

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameWARREN K. DAVIDSONCredential: D.O.

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202

Mailing Address21 Cameron DrPonte Vedra, FL 32081-8303 · (330) 861-8996

Phone(904) 202-9000

Sole ProprietorNo

Enumeration DateJuly 7, 2008

Last NPPES UpdateNovember 18, 2015

✔ NPI 1790948164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in FL · OS12714✔ Licensed in OH · 34010306

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Other Identifiers 2

Medicare PINH047910OH

Medicaid0057305OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warren K. Davidson D.o. 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.

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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.

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