Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316050909 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Philip Davidson , DPM

Podiatrist • Youngstown, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Davidson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date September 26, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Davidson, DPM was a registered Podiatrist practicing in Youngstown, OH. Throughout an active medical career spanning 11 years, Dr. Davidson provided care at the practice location at 3200 BELMONT AVE until profile deactivation on 2017-09-26.

Practice Location & Contact Primary Location

Practice Address

3200 Belmont Ave

Youngstown, OH 445051862

Telephone 3307591132
Fax 3307591113
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Youngstown, OH (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 1210

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 26, 2017

Record deactivated on September 26, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3200 BELMONT AVE, YOUNGSTOWN, OH 445051862 (Tel: 3307591132)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3200 BELMONT AVE, YOUNGSTOWN, OH 445051862 (Tel: 3307591132)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME DAVIDSON, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist (License #1210 in OH)

🟢
Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerome Davidson. Be the first to share your experience!

Sign in to leave a review for Dr. Jerome Davidson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316050909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Deactivation Date: September 26, 2017

Mailing Address

3200 Belmont Ave

Youngstown, OH 445051862

Phone: 3307591132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.