Active NPI
Thomas Floyd Hudson III, MD
- Dermatology Physician
- Conway, AR
National Provider Identifier
1588643563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R2661
- Practice address
- 9 Medical Lane
Conway, AR 72034 - Phone
- (501) 327-8480
- Fax
- (501) 327-2854
- NPI assigned
- Jan 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R2661 | AR | Primary |
Addresses
Primary practice location
9 Medical Lane
Conway, AR 72034
Mailing address
9 Medical Lane
Conway, AR 72034
Phone (501) 327-8480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105042001 | Medicaid | AR |
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
- Dermatology
- Education
- Baylor College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Medical Lane
Conway, AR 72034-4912
9 Medical LN
Conway, AR 72034-4912
Phone (501) 327-8480
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1001 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2661 | AR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Hudson LLC | Dermatology | Current | Accepting new patients |
Locations
9 Medical Ln
Conway, AR 72034
Phone (501) 327-2480
Organizations & group practices 1
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.
-
- Dermatology Physician
- Conway, AR
- NPI 1245411891
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1588643563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MEDICAL LANE",
"city": "CONWAY",
"state": "AR",
"postal_code": "72034",
"telephone_number": "501-327-8480",
"fax_number": "501-327-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MEDICAL LANE",
"city": "CONWAY",
"state": "AR",
"postal_code": "72034",
"telephone_number": "501-327-8480",
"fax_number": "501-327-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "THOMAS",
"middle_name": "FLOYD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AR",
"license": "R2661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105042001",
"state": "AR"
}
],
"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 Jul 18, 2008; 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.