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

Norman Davidson, PA

Individual provider Medical Physician Assistant · NPI 1710387295

Norman Davidson, PA is a Physician Assistant in Hastings, Michigan. Qualified in 2014, 12 years ago. Practices with Pennock Hospital, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

840 Cook Rd
Hastings, MI 49058-9616
Phone: (269) 945-9520
Fax: (269) 945-9580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601007099 (MI)

Record details

NPI number1710387295
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pennock Hospital — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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