Active NPI
Stephen Hudson, M.D.
- Emergency Medicine Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E0837
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 513-5793
- NPI assigned
- Oct 4, 2005
- Last updated
- Jan 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E0837 | AR | Primary |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
2302 College Ave
Conway, AR 72034-6297
Phone (501) 513-5793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130948001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0837 | AR | MD | Emergency Medicine Physician |
Practice roles
Locations
2504 McCain Blvd
Ste 118
North Little Rock, AR 72116
Phone (501) 812-6655
400 S Main St
Ste 100
Searcy, AR 72143
Phone (501) 279-9000
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PrimeCare Medical Clinic
- Primary Care Clinic/Center
- Searcy, AR
- NPI 1316918576
-
dba Wound Care Clinic
- General Practice Physician
- Conway, AR
- NPI 1427202639
-
- General Practice Physician
- Conway, AR
- NPI 1861725871
-
- General Acute Care Hospital
- Conway, AR
- NPI 1235666033
-
dba Conway Regional Neonatal Department
- Neonatal-Perinatal Medicine Physician
- Conway, AR
- NPI 1154138097
-
dba Conway Regional HomeCare Services
- Home Health Agency
- Conway, AR
- NPI 1154340552
-
dba Conway Regional Ear, Nose, and Throat Clinic
- Otolaryngology Physician
- Conway, AR
- NPI 1184454399
-
dba Conway Regional Endocrinology and Diabetes Center
- Endocrinology, Diabetes & Metabolism Physician
- Conway, AR
- NPI 1255095139
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
dba Conway Regional Maternal-Fetal Medicine Center of Arkansas
- Maternal & Fetal Medicine Physician
- Conway, AR
- NPI 1528722501
-
dba Conway Regional Cardiovascular Clinic
- Cardiovascular Disease Physician
- Conway, AR
- NPI 1639624372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1083601140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346297",
"telephone_number": "501-513-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346297",
"telephone_number": "501-513-5793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E0837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130948001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.