Dennis O Davidson, MD
Individual provider Active NPI Family Medicine Physician · Batesville, AR
NPI 1447257597 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1447257597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C4467 (AR)
- Practice address
- 2000 Harrison St
Suite D
Batesville, AR 72501 - Phone
- (870) 793-4724
- Fax
- (870) 793-4725
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4467 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Clinic East | Family Medicine | Past | Accepting new patients |
| Arkansas Family Care Network | Family Medicine | Past |
Accepting new patients |
| Joseph F. Farmer, M.D. P.a., Inc | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C4467 | AR | Yes |
Addresses
Primary practice location
2000 Harrison St
Suite D
Batesville, AR 72501
Mailing address
701 N University
Suite 201
Little Rock, AR 72205
Phone (501) 224-1690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670586 | Other | AR | UNITED HEALTHCARE |
| 13600000000 | Other | AR | QUAL CHOICE |
Other providers in Batesville, AR
- Dana Lynne Dauzat
- David a. Yates & Associates, LLC
- David L. Posey, M.D., PLLC
- Melanie Davidson-Hall
- Dana Davidson
- Davie Medical Equipment, Inc
- Andrew Davis
- Deborah Davis
- Debra Davis
- James O Davis III
All providers in Batesville, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.