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Active NPI 1083623912 Individual Practitioner Male Practitioner

Robert R Davidson , PA-C

Physician Assistant • Berlin, VT

Professional Overview & Biography Verified Profile Summary

Robert Davidson, PA-C is a registered healthcare professional specializing in Physician Assistant in Berlin, VT. Practice services are available at 130 FISHER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Fisher Rd

Berlin, VT 056029516

Telephone 8022257000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berlin, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Berlin, VT (325 Statewide)

Telehealth Adoption Rate
11.8% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VT 550030361

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
OAP0864 (VT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1134740962

Doctor of Medicine (M.D.)

David Segel , FNP

Nurse Practitioner

NPI 1194384974

Family Nurse Practitioner

NPI 1285658062

Doctor of Medicine (M.D.)

Dr. Lise Kowalski , MD

Family Medicine

NPI 1346264124

Doctor of Medicine (M.D.)

Maria Puglisi , FNP

Nurse Practitioner - Family

NPI 1528082302

Family Nurse Practitioner

Grace Altebrando , RN

Nurse Practitioner - Family

NPI 1609229707

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 130 FISHER RD, BERLIN, VT 056029516 (Tel: 8022257000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 14 N PINNACLE RIDGE RD, WATERBURY, VT 056769140 (Tel: 8022440850)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT DAVIDSON, PA-C

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

Physician Assistant (License #550030361 in VT)

🟢
Initial NPI Registration & Enumeration August 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083623912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

14 N Pinnacle Ridge Rd

Waterbury, VT 056769140

Phone: 8022440850

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.