| Dr Robert Scot Davidson, MD | |
|
3 Lyon Place, Ogdensburg, NY 13669 | |
| (315) 713-5300 | |
| (866) 506-5573 |
| Full Name | Dr Robert Scot Davidson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3 Lyon Place, Ogdensburg, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942209549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 217141 (New York) | Primary |
| Entity Name | Nautilus Health Care Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
| Entity Name | Surgical Associates Of West Fl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801839691 PECOS PAC ID: 7315916947 Enrollment ID: O20040929001093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Scot Davidson, MD 3 Lyon Place, Ogdensburg, NY 13669 Ph: (315) 713-5300 | Dr Robert Scot Davidson, MD 3 Lyon Place, Ogdensburg, NY 13669 Ph: (315) 713-5300 |
Dr. Sandeep Sirsi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Main Street, Ogdensburg, NY 13669 Phone: 315-393-2611 Fax: 315-393-2633 | |
Kenneth I. Brydges, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Horwood Place, Ogdensburg, NY 13669 Phone: 315-394-0426 |