Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jesse T Davidson IV, MD

Individual provider Surgery Physician · NPI 1881009835

Dr. Jesse T Davidson IV, MD is a General Surgery in Saint Louis, Missouri. Graduated from University of Tennessee Hsc College of Dentistry in 2014, 12 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
12
Trained at
University of Tennessee Hsc College of Dentistry
Licensed in
IL, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1 Barnes Jewish Hospital Plz Div Surg Transplant
Saint Louis, MO 63110-1003
Phone: (314) 747-9889
Fax: (314) 361-4197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 676 N Saint Clair St Fl 19, Chicago, IL 60611-2927 — (312) 695-8900

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence 036169278 (IL)
Surgery Physician Taxonomy 208600000X · Licence 2016008739 (MO)

Record details

NPI number1881009835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2014
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
Graduated 2014 (12 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis