Individual provider Active NPI

Whitney Austin Davidson, M.D.

  • Surgery Physician
  • Rogers, AR
National Provider Identifier
1245765767
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-15535 Issued in AR
Practice address
1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone
(479) 273-7700
Fax
(479) 464-7734
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X E-15535 AR Primary

Addresses

Primary practice location

1001 S Horsebarn Rd
Rogers, AR 72758-8184

Mailing address

1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone (479) 273-7700

Other practice location 1

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-4142

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
I20220802001173 AR Practitioner - General Surgery 4688925175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

1001 S Horsebarn Rd
Rogers, AR 72758-8184
Phone (479) 273-7700

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)17
Mastectomy34
Melanoma (skin cancer) excision13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15535ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities Surgery CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 1, 2022 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245765767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184",
            "telephone_number": "479-273-7700",
            "fax_number": "479-464-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588184",
            "telephone_number": "479-273-7700",
            "fax_number": "479-464-7734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "443-481-4142",
            "fax_number": "443-924-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "WHITNEY",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-15535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.