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

Jorge M Davidenko, MDFACC

Individual provider Nuclear Cardiology Physician · NPI 1215923990

Jorge M Davidenko, MDFACC is a Cardiovascular Disease (Cardiology) in Cortland, New York. Qualified in 1976, 50 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
50
Licensed in
NY
In the registry since
2005
Specialties on file
2

Practice location Address checks out

134 Homer Ave
Cortland, NY 13045-1206
Phone: (607) 756-3561
Fax: (607) 428-5142
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 196572 (NY)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 196572 (NY)

Record details

NPI number1215923990
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACC
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address134 Homer Ave, Po Box 628, Cortland, NY 13045-1206

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services