Active NPI
David Randal Hundley, MD
- Cardiovascular Disease Physician
- Little Rock, AR
National Provider Identifier
1760580245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- N6778
- Practice address
- 601 S Gaines St
Little Rock, AR 72201-4007 - Phone
- (501) 378-5623
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | N6778 | AR | Primary |
| Interventional Cardiology Physician | 207RI0011X | N6778 | AR |
Addresses
Primary practice location
601 S Gaines St
Little Rock, AR 72201-4007
Mailing address
2423 N Fillmore St
Little Rock, AR 72207-3612
Phone (501) 350-2030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-T031 | Other | AR | MALP INS |
| 109935001 | Medicaid | AR |
Other names 1
- Dr. Randal F Hundley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N6778 | AR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health | Cardiovascular Disease | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1760580245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 N FILLMORE ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722073612",
"telephone_number": "501-350-2030",
"fax_number": "501-421-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S GAINES ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722014007",
"telephone_number": "501-378-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDLEY",
"first_name": "DAVID",
"middle_name": "RANDAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "N6778",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "N6778",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MALP INS",
"identifier": "89-T031",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109935001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDAL",
"last_name": "HUNDLEY",
"middle_name": "F",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.