Dr Thomas John Davidson Iv, DPM | |
1331 Hamilton Ter Se, Roanoke, VA 24014-1805 | |
(251) 747-4401 | |
Not Available |
Full Name | Dr Thomas John Davidson Iv |
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Gender | Male |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 1331 Hamilton Ter Se, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295171858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | SC006438 (Pennsylvania) | Primary |
Provider Name | Thomas J Davidson Iv Wny Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013697770 PECOS PAC ID: 9638531551 Enrollment ID: O20230809002701 |
Mailing Address | Practice Location Address |
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Dr Thomas John Davidson Iv, DPM 1331 Hamilton Ter Se, Roanoke, VA 24014-1805 Ph: (251) 747-4401 | Dr Thomas John Davidson Iv, DPM 1331 Hamilton Ter Se, Roanoke, VA 24014-1805 Ph: (251) 747-4401 |
Shenandoah Valley Podiatry Associates, Ltd. Podiatrist Medicare: Medicare Enrolled Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019 Phone: 540-904-1458 Fax: 855-495-0994 | |
Mr. David Lamont Nielson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 222 Walnut Ave Sw, Roanoke, VA 24016 Phone: 540-344-3668 Fax: 540-769-6381 | |
Wesley Maurice Leong, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Dr. Peter F Kelly, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4106 Electric Rd, Roanoke, VA 24014 Phone: 540-989-3338 Fax: 540-989-5425 | |
Dr. Craig Alan Wilhelms, DPM, PC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-510-6200 Fax: 540-857-5306 | |
Jennifer Anne Keller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019 Phone: 540-904-1458 Fax: 855-495-0994 | |
Dr. Marc A. Platt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-725-1226 Fax: 540-857-5306 |