NPIMap

Organization Active NPI

Davis Neurology, PLLC

  • Neurology Physician
  • Russellville, AR
National Provider Identifier
1578824934
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DAVIS NEUROLOGY, PLLC
Practice address
220 N Phoenix Ave
Russellville, AR 72801-2826
Phone
(479) 880-0101
Fax
(479) 880-0118
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Anthony Charles Davis, M.D.
Title
Owner
Phone
(479) 880-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

220 N Phoenix Ave
Russellville, AR 72801-2826

Mailing address

220 N Phoenix Ave
Russellville, AR 72801-2826
Phone (479) 880-0101

Other names 1

  • Davis Neurology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1578824934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PHOENIX AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012826",
            "telephone_number": "479-880-0101",
            "fax_number": "479-880-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PHOENIX AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012826",
            "telephone_number": "479-880-0101",
            "fax_number": "479-880-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-880-0101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.