NPIMap

Individual provider Active NPI

Ryan Matthew David, D.O.

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1205079027
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-8339 Issued in AR
Practice address
4301 W Markham St
Slot # 783
Little Rock, AR 72205-7101
Phone
(501) 686-8000
NPI assigned
Apr 8, 2009
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-8339 AR Primary

Addresses

Primary practice location

4301 W Markham St
Slot # 783
Little Rock, AR 72205-7101

Mailing address

6512 Evergreen Dr
Little Rock, AR 72207-6318
Phone (210) 857-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150626001231 AR Practitioner - Diagnostic Radiology 6709198112 Reassigns benefits to 4 organizations
I20230615001055 MO Practitioner - Diagnostic Radiology 6709198112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resort Radiology, PLLCGroup PAC ID 0042648420, 5 clinicians
Arkansas Specialty Radiology PLLCGroup PAC ID 8325047236, 4 clinicians
Radiology Associates of the Ozarks, PLLCGroup PAC ID 4880901578, 3 clinicians

Practice addresses (Care Compare)

120 Adcock Rd
Hot Springs, AR 71913-7958
Phone (866) 601-8435

4300 Landers Rd
North Little Rock, AR 72117-2525
Phone (866) 601-8435

620 N Mail St
Harrison, AR 72601-2911
Phone (870) 414-4231

800 Hwy 248
Suite 2F
Branson, MO 65616-4078
Phone (800) 962-0093

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2015 Accepting new patients
Resort Radiology, PLLC Diagnostic Radiology CurrentSince Dec 27, 2021 Accepting new patients
Radiology Associates of the Ozarks, PLLC Diagnostic Radiology CurrentSince Nov 19, 2018 Accepting new patients
University of Arkansas for Medical Sciences Diagnostic Radiology Current Accepting new patients
Arkansas Specialty Radiology, PLLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Clearview Digital Image LLC Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

120 Adcock Rd
Hot Springs, AR 71913
Phone (866) 601-8435

120 Adcock Rd
#B
Hot Springs, AR 71913
Phone (501) 767-1538

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4300 Landers Rd
North Little Rock, AR 72117
Phone (501) 771-1600

800 State Highway 248
Ste 2F
Branson, MO 65616
Phone (417) 324-7672

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1205079027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 EVERGREEN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076318",
            "telephone_number": "210-857-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "address_2": "SLOT # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-8339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.