JONATHAN L. DAVIS (NPI# 1679556880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679556880 |
| Entity Type | Individual |
| Full Name | JONATHAN L. DAVIS |
| Credential | M.D. |
| Practice Address |
3215 N. North Hills Blvd. Fayetteville AR 72703 |
| Mailing Address |
12 East Appleby Road Suite 102 Fayetteville AR 72703 |
| Practice Telephone | 4794637102 |
| Practice Fax Number | 4794637864 |
| Mailing Telephone | 4794637102 |
| Mailing Fax Number | 4794637864 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | L1828 | TX | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | E-2690 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 047338101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192007 | Jonathan Davis | Physical Therapy Assistant | 2000 Buckeye Loop Rd, Winter Haven, FL 33881-2767 | 2020-07-22 |
| 1568084192 | Jonathan Davis | Specialist/Technologist | 21 Elton Dr, Newington, CT 06111-2606 | 2020-05-18 |
| 1346384773 | Jonathan Michael Davis | Family Medicine | 240 N Highland Ave Ne, Unit 3312, Atlanta, GA 30307-5609 | 2007-02-18 |
| 1477645695 | Jonathan C Davis | Marriage & Family Therapist | 1313 Alford Ave, Birmingham, AL 35226-3127 | 2006-09-28 |
| 1154351609 | Jonathan Blair Davis | Chiropractor | 16005 Comprint Cir, Gaithersburg, MD 20877-1318 | 2006-07-03 |
| 1104862960 | Jonathan Davis | Psychologist | 19 Central St, Ste D, Byfield, MA 01922-1233 | 2006-06-21 |
| 1023051257 | Jonathan Mark Davis | Dentist | 1410 Highland Ave., #203, Needham, MA 02492 | 2006-06-14 |
| 1962024828 | Jonathan Davis | Counselor | 2200 S State St Fl 2, Salt Lake City, UT 84115-2724 | 2020-05-14 |
| 1104455443 | Jonathan Davis | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Ste 20400, Nashville, TN 37204-4600 | 2020-04-08 |
| 1982258265 | Jonathan Edgar Davis | Specialist/Technologist, Other | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2019-07-25 |
| Street Address |
3215 N. NORTH HILLS BLVD. |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604425 | Barbara Ashe | Emergency Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 | 2005-10-26 |
| 1194182832 | Kelsi Marie Gardner | Physician Assistant | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2016-01-26 |
| 1720473853 | Matthew H Marks | Emergency Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2015-04-06 |
| 1275941312 | Katelyn M Bakunas | Physician Assistant | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2014-07-31 |
| 1841581980 | Davis Duong | Emergency Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2011-04-24 |
| 1962727016 | Stephanie Michelle Pereira | Emergency Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2010-04-01 |
| 1235369497 | Jonna M. Dyer | Hospitalist | 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 | 2009-07-22 |
| 1366698862 | Hugh B. Higginbotham | Internal Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703 | 2008-08-15 |
| 1558529347 | Travis Knox Mcclure | Family Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 | 2008-05-28 |
| 1497923445 | Kathlyn R. Cook | Family Medicine | 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 | 2008-02-12 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578095048 | Jason K Jones | Hospitalist | 3215 N North Hills Blvd, Fayetteville, AR 72703 | 2017-04-03 |
| 1982068094 | Aderajew Amsalu Taddesse | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2016-04-06 |
| 1962864694 | Phillip G Doerner IIi | Hospitalist | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2016-03-22 |
| 1619378387 | Ashish Subedi | Hospitalist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2014-09-11 |
| 1225386816 | Thida Win | Hospitalist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2012-08-29 |
| 1316202609 | Dhp of Piedmont PC | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2012-07-12 |
| 1255609186 | Ramesh Kumar | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2011-12-07 |
| 1265717474 | Mayank Singhal | Hospitalist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2011-10-19 |
| 1801195557 | Derinda Trobaugh | Hospitalist | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2011-03-21 |
| 1326369331 | Claire Douglas | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2010-06-14 |
| 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.