EDDIE D. DAVENPORT MD – NPI #1962512210
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
EDDIE DAVENPORT is a physician located in WRIGHT-PATTERSON AFB, OH. NPPES has assigned the NPI number 1962512210 to EDDIE DAVENPORT on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 7 years ago on Aug 09, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDDIE DAVENPORT below.
NPI Profile for
EDDIE D. DAVENPORT
(about 20 years ago)
WRIGHT-PATTERSON AFB, OH 45433 Phone: (937) 938-2752 Fax:
2 Other location(s):
Dayton, OH 45409-2731
Phone: (937) 223-4461
Fax: (937) 449-7603
Jbsa Lackland, TX 78236
Phone: (210) 292-6225
Identifiers for EDDIE DAVENPORT
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | OH | 0054374 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
TX | N3601 |
| 207R00000X - Internal Medicine |
WI | 48089 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
EDDIE DAVENPORT is affiliated with the following medical group(s):
- HOSPITAL
- MIAMI VALLEY HOSPITALONE WYOMING STREET
DAYTON, OH 45409
- MIAMI VALLEY HOSPITALONE WYOMING STREET
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