David Edwin Pruitt, M.D.,

Primary specialty

SpecialistTaxonomy code 174400000X

License

E3086 Issued in AR

Practice address

1455 Higdon Ferry Rd
Hot Springs, AR 71913-6419

Phone

(501) 622-2100

Fax

(501) 622-2214

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dpruitt124132@directb.mercy.net

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.

• Radiation Oncology Associates, Inc

  • Radiation Oncology Physician
  • Pittsburg, KS
  • NPI 1003938853
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750397782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22148",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032148",
            "telephone_number": "501-622-1913",
            "fax_number": "501-622-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HIGDON FERRY RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136419",
            "telephone_number": "501-622-2100",
            "fax_number": "501-622-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "7596359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "5L933",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Home Care
• Prime Medical Group PLLC
• Alicia Prince, M.D.
• David J Proctor, PTA
• Promed Preferred Ar Professional Corporation
• Mitzi G Pruitt, RNP
• Psychiatric Clinic of Hot Springs PA
• Cristina Puckett, LCSW
• Melissa Puckett, APRN
• Roy L Puen, MD

• Specialist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.