DEANNA D. DAVIDSON (DO) – Surgery Physician, NPI 1053358465

DEANNA D. DAVIDSON (DO) is a healthcare provider. based in Davenport, Washington. specializing in Surgery Physician. They hold the professional credentials DO. They hold a License No. OP00001498 (WA). The NPI Number for DEANNA D. DAVIDSON (DO) is 1053358465

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DEANNA D. DAVIDSON (DO)
NPI
1053358465
Phone
(509) 725-7501
Address
100 3RD ST
Enumeration Date
2 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
4062332500
Graduation Year
1988 (38 years ago)
PAC ID
7315846359
Group Practice PAC ID
8921045667
Professional Enrollment ID
I20200205002229
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DEANNA D. DAVIDSON (DO)

  • 100, 3rd Street, Davenport, Cass County, North Dakota, 58021, United States

    SUITE 1

    DAVENPORT, WA 991229730

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921045667View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerMT
Radiation OncologyOH
General SurgeryCT
Emergency MedicineMT
-NC
Family PracticeMT
Emergency Medicine, Family PracticeCO
-MT

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Frequently asked questions

What NPI should I save for DEANNA D. DAVIDSON (DO)?
Save NPI 1053358465 if you need a stable reference for DEANNA D. DAVIDSON (DO).
Is DEANNA D. DAVIDSON (DO)'s NPI currently valid?
The extract we use shows DEANNA D. DAVIDSON (DO) as active.
Does DEANNA D. DAVIDSON (DO) list a primary specialty?
If you are matching referrals, note Surgery Physician for DEANNA D. DAVIDSON (DO). Clinical services aligned with this taxonomy classification.
What location shows for DEANNA D. DAVIDSON (DO)?
We surface Davenport, Washington for DEANNA D. DAVIDSON (DO) based on available NPPES addresses.
Is DEANNA D. DAVIDSON (DO) a real provider?
This page reflects official NPPES data for NPI 1053358465. Always confirm identity and privileges with the practice and licensing boards.

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