Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801891791 Individual Practitioner Male Practitioner

Dr. Jesse Thornhill Davidson , MD

Specialist • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Davidson, MD is a registered healthcare professional specializing in Specialist in Roanoke, VA. Practice services are available at 1234 FRANKLIN RD SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 Franklin Rd Sw

Roanoke, VA 240164606

Telephone 5402836071
Fax 5402836098
Associated Practice Facility / Clinic
🏢 Jefferson Surgical Clinic Inc Facility NPI 1447286810

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.7 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Roanoke, VA (878 Statewide)

Telehealth Adoption Rate
4.2% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101034302

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
007311141 (VA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Molly Rutherford , MD

Internal Medicine - Cardiovascular Disease

NPI 1861609091

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2014

Registered at 1234 FRANKLIN RD SW, ROANOKE, VA 240164606 (Tel: 5402836071)

📍
Updated Business Mailing Address January 22, 2014

Registered at 1234 FRANKLIN RD SW, ROANOKE, VA 240164606 (Tel: 5403451561)

👤
Provider Name / Credentials Updated January 22, 2014

Recorded as JESSE DAVIDSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2014

Specialist (License #0101034302 in VA)

🟢
Initial NPI Registration & Enumeration June 16, 2005

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: 1801891791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: January 22, 2014
Sole Proprietor: No

Mailing Address

1234 Franklin Rd Sw

Roanoke, VA 240164606

Phone: 5403451561

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.