James V Davidson, MA CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

42 Issued in AR

Practice address

530 W Faulkner
El Dorado, AR 71730

Phone

(870) 862-5339

Fax

(870) 862-7571

NPI assigned

Sep 15, 2006

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Resources

  • Audiologist-Hearing Aid Fitter
  • El Dorado, AR
  • NPI 1164543161
  Authorized official Same address or phone

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1679679922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W FAULKNER",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-862-5339",
            "fax_number": "870-862-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W FAULKNER",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-862-5339",
            "fax_number": "870-862-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAMES",
        "middle_name": "V",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "42",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID PAY TO",
            "identifier": "114404720",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106174720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D'Orsay D. Bryant, III, MD, PA
• Elizabeth Marie Damers-Hollis, LPC
• Daniel D. Schrader, M.D. P.L.L.C.
• Charles D Daniels, M.D.
• Jamie Renee Daugherty, LAC
• Angela L Davis
• Carrie D Davis, LCSW
• Frances Louise Davis, O.D.
• Nicole Davis
• Steven Robert Davis, CRNA

• Audiologist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.