Organization Active NPI

The Davidson Hospital

  • General Acute Care Hospital
  • Little Rock, AR
National Provider Identifier
1356996136
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Sean Luke DavidsonNPI 1043865082
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
105328715MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Sean'S Crisis Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.