MEDICARE: DR. SCOTT MICHAEL DAVIDSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	24133	AL
2	207Q00000X	Family Medicine Physician	44704	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10910544	OTHER	CO	ROCKY MOUNTAIN HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518950955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MICHAEL DAVIDSON MD

Provider Business Mailing Address
First Line	:	44 E SPAULDING AVE STE 6
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81007-1668
Country	:	US
Telephone Number	:	719-281-1605
Fax Number	:	719-988-9677

Provider Business Practice Location Address
First Line	:	44 E SPAULDING AVE STE 3
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81007-1668
Country	:	US
Telephone Number	:	719-281-1605
Fax Number	:	719-988-9677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	06/03/2024

Similar Medicare Providers

1174540009 — CHARLES HARRY WINGFIELD LCSW CACIII
Practice Location Address:

44 E SPAULDING AVE , STE 4
PUEBLO WEST, CO
81007-1668

Practice Phone: 719-564-9039
Practice Fax: 719-561-8752

1215099940 — MRS. GLORIA R CAPPETTO DIPL. AC., L AC.
Practice Location Address:

44 E SPAULDING AVE , SUITE 8
PUEBLO WEST, CO
81007-1668

Practice Phone: 719-778-6040
Practice Fax:

1447475280 — INSIDE OUT COUNSELING PC
Practice Location Address:

44 E SPAULDING AVE , BUILDING 3, SUITE 1
PUEBLO WEST, CO
81007-1668

Practice Phone: 719-250-9569
Practice Fax: 719-547-7869

1386083806 — MRS. SARAH ROSE FOWLER LPC, MS
Practice Location Address:

44 E SPAULDING AVE STE 1
PUEBLO, CO
81007-1668

Practice Phone: 719-542-0032
Practice Fax: 719-296-6218

1376055848 — CHRISTY MARIE COOK
Practice Location Address:

44 E SPAULDING AVE , BLD 3 STE 3
PUEBLO, CO
81007-1668

Practice Phone: 515-897-8824
Practice Fax:

1962041350 — COMPASS ROSE COUNSELING, LLC
Practice Location Address:

44 E SPAULDING AVE STE 1
PUEBLO WEST, CO
81007-1668

Practice Phone: 719-582-3003
Practice Fax: 866-286-8545

Directions to “ DR. SCOTT MICHAEL DAVIDSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.