DONALD D DAVENPORT JR D O P A – NPI #1053435362
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

DONALD D DAVENPORT JR D O P A is a surgeon located in ODESSA, TX. NPPES has assigned the NPI number 1053435362 to DONALD D DAVENPORT JR D O P A on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 18 years ago on Apr 14, 2008. 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 DONALD D DAVENPORT JR D O P A below.

NPI Profile for
DONALD D DAVENPORT JR D O P A

NPI Number
1053435362
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DONALD D DAVENPORT JR D O P A
Primary location
540 W 5TH ST STE 470
ODESSA, TX 79761-5070
Phone: (432) 580-8330 Fax: (432) 580-8333
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONALD DAVENPORT
OWNER PHYSICIAN
Phone: (432) 580-8330
Updated
Identifiers

Identifiers for DONALD D DAVENPORT JR D O P A

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.

DescriptionIssuerStateIdentifier
OTHERGROUP # BCBSTX0017HG
Taxonomy Code(s)

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
2086S0102X
- Surgery / Surgical Critical Care (Primary)
TX L0118
208C00000X
- Colon & Rectal Surgery
TX L0118
2086X0206X
- Surgery / Surgical Oncology
TX L0118
2086S0127X
- Surgery / Trauma Surgery
TX L0118
2086S0120X
- Surgery / Pediatric Surgery
TX L0118
208600000X
- Surgery
TX L0118

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.