DR. RANDALL B DAVIS (NPI# 1265435697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265435697 |
| Entity Type | Individual |
| Full Name | DR. RANDALL B DAVIS |
| Credential | MD |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Mailing Address |
Po Box 2429 Smyrna TN 37167-1719 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | R3860 | AR | Other Service Providers |
| Y | 207Y00000X | Otolaryngology | R-3860 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 114745001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2145 N Kantz Ln, Fayetteville, AR 727033165 | 4797996303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336437458 | Randall Thomasson Davis | Dentist | 3116 Acacia Dr, Cheyenne, WY 82001-5804 | 2011-07-11 |
| 1316131816 | Randall Ray Davis | Registered Nurse | 10325 Windmill Rd, Fairhope, AL 36532-4887 | 2007-08-29 |
| 1134311137 | Randall Davis | Dentist | 101 Pagosa St, Pagosa Springs, CO 81147 | 2007-08-14 |
| 1487781605 | Randall L Davis | Dentist | 100 Amesbury St Ste 203, Lawrence, MA 01840-1321 | 2007-02-27 |
| 1740292556 | Randall Evan Davis | Chiropractor | 300 Prairie Center Dr, Suite 210, Eden Prairie, MN 55344-5395 | 2006-08-12 |
| 1124054119 | Randall B Davis | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2006-06-23 |
| 1003804576 | Randall Gregg Davis | Chiropractor | 1000 N Arkansas Ave, Suite A, Russellville, AR 72801-2936 | 2005-10-10 |
| 1023385408 | Randall J Davis | Dentist | 30 Plaza 9, Manalapan, NJ 07726-3010 | 2011-11-29 |
| 1265757132 | Randall D. Davis | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2010-04-02 |
| 1346378452 | Randall J Davis | Acupuncturist | 1230 Nw Garfield Ave, Corvallis, OR 97330-2056 | 2007-03-01 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| 1518502756 | Jeremy Allan Fowler | Psychologist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| 1912911934 | Carlton Lee Chambers IIi | Otolaryngology | 228 E Sunbridge Dr, V A Ent Clinic, Fayetteville, AR 72703-1823 | 2006-07-27 |
| 1346206976 | Kenneth Thomas Bellian | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-22 |
| 1417935461 | Sabina Petra Francis | Otolaryngology | 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304 | 2006-01-09 |
| 1316346976 | Cumberland County Hospital System Inc | Otolaryngology | 1565 Purdue Dr, Suite 301, Fayetteville, NC 28303-5536 | 2014-08-20 |
| 1760780688 | Lincoln Ear Nose and Throat | Otolaryngology | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2011-03-01 |
| 1790001758 | Shan Tang | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2010-04-15 |
| 1104023951 | Elizabeth Mccurdy Hueman | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2007-06-27 |
| 1376509778 | William James Wiggs Jr. | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-25 |
| 1255397881 | Robert Richard Friedrichs | Otolaryngology | 2053 Valleygate Drive, Ste. 101, Fayetteville, NC 28304-3983 | 2006-04-22 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.