Individual provider Active NPI

David W Hunton, MD

  • Surgery Physician
  • Fort Smith, AR
National Provider Identifier
1164441432
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C-5409 Issued in AR
Practice address
2717 S 74TH St
Fort Smith, AR 72903-5100
Phone
(479) 573-3101
Fax
(479) 573-3102
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C-5409 AR Primary

Addresses

Primary practice location

2717 S 74TH St
Fort Smith, AR 72903-5100

Mailing address

5401 Ellsworth Rd
Fort Smith, AR 72903-3219
Phone (479) 314-1101

Other identifiers 2

IdentifierTypeStateIssuer
020010424OtherRR MEDICARE
105275001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000503 AR Practitioner - General Surgery 1951425966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-5409ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2012 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2012 Accepting new patients

Locations

2717 S 74th St
Fort Smith, AR 72903
Phone (479) 452-9080

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510

5401 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 314-1101

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

Interoperability endpoints

  • Direct secure messaging: dhunton123927@directb.mercy.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1164441432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033219",
            "telephone_number": "479-314-1101",
            "fax_number": "479-314-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 S 74TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035100",
            "telephone_number": "479-573-3101",
            "fax_number": "479-573-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTON",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C-5409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020010424",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105275001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.