Ridgeline Obstetrics & Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E5242 Issued in AR

Legal business name

RIDGELINE OBSTETRICS & GYNECOLOGY

Practice address

1601 New Castle Rd
Forrest City, AR 72335-2218

Phone

(870) 633-0712

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Walter L Davis, M.D.

Title

Sole Member

Phone

(870) 633-0712

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1548499684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723360705",
            "telephone_number": "870-633-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEW CASTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352218",
            "telephone_number": "870-633-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELINE OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "870-633-0712",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E5242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5N992",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reeves, LPN
• Piper Reeves
• Gwendoyln Reid, MHPP
• Renal Treatment Centers-Southeast, LP. (Forrest City Dialysis)
• Shanice Rice
• Latara Ridgell, MHPP
• Cherie Roberts
• Brenda Joyce Robinson, LPN, A.A.S., MHPP
• Catrece Robinson, CM
• Cass Nykita Rogers

• Obstetrics & Gynecology Physician in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.