Ronald F Davis, MEDICAL DIANOSTIC TE

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

Practice address

2227 W Main St
Jacksonville, AR 72076-4207

Phone

(501) 985-9944

Fax

(501) 985-6590

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Doctors Testing Center LLC II

  • Otolaryngology Physician
  • Jacksonville, AR
  • NPI 1922178060
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1396845574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 WEST MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764207",
            "telephone_number": "501-985-9944",
            "fax_number": "501-985-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764207",
            "telephone_number": "501-985-9944",
            "fax_number": "501-985-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RONALD",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MEDICAL DIANOSTIC TE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF",
            "identifier": "5C724",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "56C52",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Davis, LAC
• Erica E Davis, RN
• Jackalyn Leigh Davis, LPC
• Judy Davis, RN
• Juliana Brook Davis, TECHNICIAN
• Susan Diane Denette
• Marissa Dent, OTD, OTR/L
• Ordrey L Denton
• Jasmine Desai, PHARM.D.
• Peyton Nicole Diaz, M.A., CCC-SLP

• Speech/Language/Hearing Specialist/Technologist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Speech/Language/Hearing Specialist/Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.