Active NPI
The Davidson Hospital
- General Acute Care Hospital
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- THE DAVIDSON HOSPITAL
- Practice address
- 3305 Malloy St
Little Rock, AR 72204-4480 - Phone
- (501) 412-5520
- NPI assigned
- Aug 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Luke Davidson
- Title
- Ceo, MD
- Phone
- (501) 412-5520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3305 Malloy St
Little Rock, AR 72204-4480
Mailing address
3305 Malloy St
Little Rock, AR 72204-4480
Phone (501) 412-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105328715 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Sean'S Crisis Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1568081388
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1568081388
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Little Rock, AR
- NPI 1043865082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586563200000",
"number": "1356996136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 MALLOY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722044480",
"telephone_number": "501-412-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 MALLOY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722044480",
"telephone_number": "501-412-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DAVIDSON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-07",
"last_updated": "2020-04-11",
"certification_date": "2020-04-11",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "LUKE",
"authorized_official_title_or_position": "CEO, MD",
"authorized_official_telephone_number": "501-412-5520"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105328715",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.