DR. DAVID EDWIN PRUITT (NPI# 1750397782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750397782 |
| Entity Type | Individual |
| Full Name | DR. DAVID EDWIN PRUITT |
| Credential | M.D., |
| Practice Address |
1455 Higdon Ferry Rd Hot Springs AR 71913-6419 |
| Mailing Address |
Po Box 22148 Hot Springs AR 71903-2148 |
| Practice Telephone | 5016222100 |
| Practice Fax Number | 5016222214 |
| Mailing Telephone | 5016221913 |
| Mailing Fax Number | 5016224676 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E3086 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS PROV # | 5L933 | 01 |
| AETNA ID # | 7596359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053524553 | David Keith Pruitt | Chiropractor | 11943 Cumming Hwy, Canton, GA 30115-8129 | 2007-05-08 |
| 1730167099 | David E Pruitt | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2006-01-06 |
| 1356421176 | David W Pruitt | Physical Medicine & Rehabilitation | 3333 Burnet Ave, Ml 4009, Cincinnati, OH 45229-3039 | 2006-10-16 |
| 1023022829 | David B Pruitt | Psychiatry & Neurology | 701 W Pratt St, 4th Floor, Baltimore, MD 21201-1023 | 2006-07-28 |
| Street Address |
1455 HIGDON FERRY RD |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514584 | Prabhakara K Reddy | Internal Medicine | 1455 Higdon Ferry Rd, Ste B, Hot Springs, AR 71913-6419 | 2005-08-09 |
| 1922330844 | Lingyi Chen | Internal Medicine | 1455 Higdon Ferry Rd, Suite B, Hot Springs, AR 71913-6419 | 2010-02-02 |
| 1871767152 | Lynn A Cleveland | Internal Medicine | 1455 Higdon Ferry Rd, Hot Springs, Hot Springs, AR 71913-6419 | 2008-04-17 |
| 1588833214 | St. Joseph's Mercy Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1455 Higdon Ferry Rd, Suite B, Hot Springs, AR 71913-6419 | 2008-02-27 |
| 1730388166 | Sanjay Maraboyina | Radiology | 1455 Higdon Ferry Rd, Hot Springs, AR 71913-6419 | 2007-07-16 |
| 1245308030 | Heritage Physician Group | Durable Medical Equipment & Medical Supplies | 1455 Higdon Ferry Rd, Hot Springs, AR 71913 | 2006-12-01 |
| 1730194556 | Hot Springs Radiation Oncology, Pa | Specialist | 1455 Higdon Ferry Rd, Hot Springs, AR 71913-6419 | 2006-07-30 |
| 1689666216 | Susan J Adams | Nurse Practitioner | 1455 Higdon Ferry Rd, Ste B, Hot Springs, AR 71913-6419 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467836072 | Thai-me Spa Inc | Specialist | 5001 Central Ave Ste D, Hot Springs, AR 71913-5715 | 2015-07-13 |
| 1184996696 | Robert Eugene Polcyn | Specialist | 617 S 15th Street, Hot Springs, SD 57747-5127 | 2012-01-30 |
| 1184877094 | North Little Rock Neurology Services | Specialist | 1 Mercy Ln Ste 503, Hot Springs, AR 71913-6462 | 2008-10-23 |
| 1386859411 | Lydia Lane Dworkin, M.d. Pa | Specialist | 402 W Grand Ave, Hot Springs, AR 71901-5354 | 2007-05-11 |
| 1801927009 | Healthfirst Physicians of Arkansas Dba Williams J. Wright | Specialist | 1 Mercy Ln Ste 211, Hot Springs, AR 71913-6457 | 2007-03-08 |
| 1760520175 | Robert W Jones | Specialist | 243 Hobson Ave, Hot Springs, AR 71913-3724 | 2007-02-01 |
| 1003910365 | Dr Rajesh K. Shroff | Specialist | One Mercy Lane Ste 305, Hot Springs, AR 71913 | 2006-09-08 |
| 1811900012 | Dr. Michael A. Frais, Cardiologist,p.a. | Specialist | 301 W Saint Louis St, Hot Springs, AR 71913-4457 | 2006-08-15 |
| 1548281892 | Dewey W Crow | Specialist | 389 Lake Hamilton Dr, A7, Hot Springs, AR 71913-6899 | 2006-07-22 |
| 1548200330 | Healthfirst Physicians of Arkansas, P. A. | Specialist | 208 Mcauley Ct, Hot Springs, AR 71913-6312 | 2006-06-08 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
Please comment or provide details below to improve the information on DR. DAVID EDWIN PRUITT.
| 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.