AMELIA L. DAVIDSON MD – NPI #1174412977
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

AMELIA DAVIDSON is a surgeon located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1174412977 to AMELIA DAVIDSON on June 28, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Jul 10, 2025. 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 AMELIA DAVIDSON below.

NPI Profile for
AMELIA L. DAVIDSON

NPI Number
1174412977
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMELIA L. DAVIDSON
Credentials
MD
Primary location
1 PARKVIEW PL
SAINT LOUIS, MO 63110-1038
Phone: (919) 345-0866 Fax:
Mailing address
4451 CASTLEMAN AVE APT 2W
SAINT LOUIS, MO 63110-3246
Phone: (919) 345-0866 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
MO 2025025876

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

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.