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

William J Davenport, PA

Individual provider Medical Physician Assistant · NPI 1851323778

William J Davenport, PA is a Physician Assistant in Muskegon, Michigan. Graduated from Jefferson Medical College of Thomas Jefferson University in 2004, 22 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Michigan and Virginia.

Years since qualifying
22
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MI, VA
In the registry since
2006
Specialties on file
2
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

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone: (231) 672-3883
Fax: (231) 672-3973
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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 5601005653 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110001951 (VA)

Record details

NPI number1851323778
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 20, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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