Active NPI
Daniel Thornton Judkins, M.D.
- Pain Medicine (Anesthesiology) Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- E-9832
- Practice address
- 650 United Dr Ste 340
Conway, AR 72032-7826 - Phone
- (501) 358-6791
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | E-9832 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | E-9832 | AR | Primary |
Addresses
Primary practice location
650 United Dr Ste 340
Conway, AR 72032-7826
Mailing address
650 United Dr Ste 340
Conway, AR 72032-7826
Phone (501) 358-6791
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 United Dr
Suite 340
Conway, AR 72032-7803
Phone (501) 358-6791
650 United Dr
Suite 340
Conway, AR 72032-7826
8201 Cantrell Rd
Suite 265
Little Rock, AR 72227-2347
Phone (501) 661-0077
Hospital & facility affiliations
- Baptist Health Medical Center- Conway
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.43 of 100
- Quality
- 86.38
- Improvement activities
- 40
- Cost
- 79.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9832 | AR | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Spine Interventional Pain Management, LLC | Pain Medicine | Current | Accepting new patients |
| Arkansas Neurosurgery Brain & Spine Clinic P.a. | Current | Accepting new patients |
Locations
650 United Dr
Ste 340
Conway, AR 72032
Phone (501) 328-6791
8201 Cantrell Rd
Ste 265
Little Rock, AR 72227
Phone (501) 661-0077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFICCD
- djudkins37601@direct.baptist-healthar.org
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Little Rock, AR
- NPI 1639191596
-
- Interventional Pain Medicine Physician
- Conway, AR
- NPI 1265044119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1285005140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1447518840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 UNITED DR STE 340",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327826",
"telephone_number": "501-358-6791",
"fax_number": "501-358-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 UNITED DR STE 340",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327826",
"telephone_number": "501-358-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDKINS",
"first_name": "DANIEL",
"middle_name": "THORNTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AR",
"license": "E-9832",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AR",
"license": "E-9832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.