DAVID J WADDELL


Address: 624 Hospital Dr, Mountain Home, AR 72653-2955
Phone: 8705081000

DAVID J WADDELL (NPI# 1144239500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144239500
Entity Type Individual
Full Name DAVID J WADDELL
Credential MD
Practice Address 624 Hospital Dr
Mountain Home
AR 72653-2955
Mailing Address 860 Highway 62 E Ste 10
Mountain Home
AR 72653-3200
Practice Telephone 8705081000
Practice Fax Number 8704243089
Mailing Telephone 8704243181
Mailing Fax Number 8704243089
Enumeration Date 2006-08-05
Last Update Date 2020-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
31608 IA Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist E9142 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA TAX ID 421202636 01
AR MEDICARE 419099YWUJ 01
MO 208691204 05
IA 0148593 05
IA RR MEDICARE 110149386 01
AR 209747001 05

Other Providers DAVID WADDELL

NPI Name Taxonomy Address Enumeration
1598758849 David D Waddell Orthopaedic Surgery 6999 Bickham Rd, Shreveport, LA 71107-8398 2005-08-23
1609964683 David Ira Waddell Obstetrics & Gynecology 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 2006-10-11
1710996491 David Waddell Family Medicine 1856 Colonial Medical Ct, Suite A, Virginia Beach, VA 23454-3075 2006-08-05

Office Location

Street Address 624 HOSPITAL DR
City MOUNTAIN HOME
State AR
Zip Code 72653-2955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942296900 Michael L Recktenwald Pharmacist 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 2005-09-26
1790308146 Christopher Justin Robinson Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-05-20
1164044665 Jeffrey Dupre Jr. Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-05-07
1851924765 Jordan Frey Eldridge Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-02-19
1588296586 Amanda M Horne Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2020-02-07
1962976472 Baxter County Regional Hospital, Inc General Acute Care Hospital 624 Hospital Dr, Mountain Home, AR 72653-2955 2019-01-17
1184127292 Meagan Thitoff Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-03-15
1972002020 Sarah Marie Eaton Nurse Practitioner 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-02-05
1508364449 Lacey Hlass Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-01-25
1881102192 Elizabeth Ann Smithhart Nurse Anesthetist, Certified Registered 624 Hospital Dr, Mountain Home, AR 72653-2955 2018-01-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513934 Maranda Hickman Physical Therapy Assistant 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 2019-11-21
1659929156 Gale E Bacan Technician 1703 Monroe Ave, Mountain Home, AR 72653 2019-08-28
1891259321 Kidspiration Pediatric Therapy Services Clinic/Center 710 Bradley Dr., Mountain Home, AR 72653 2019-01-29
1093279275 Piper's Vision Xpress, LLC Optometrist 50 Paul Wood Lane, Mountian Home, AR 72653 2019-01-22
1346769155 Heather Bollinger Nurse Practitioner 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 2017-09-12
1447774989 Natalie D Ahrent Physical Medicine & Rehabilitation 804 Coley Dr, Mountain Home, AR 72653 2017-07-26
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1942606306 Harps Food Stores, Inc Pharmacy 2089 Highway 62 West, Mountain Home, AR 72653 2014-11-13
1972920726 Lavonne Armstrong Counselor 8 Medical Plaza, Mountain Home, AR 72653 2014-03-18
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306378062 Almas Chughtai Hospitalist 624 Hospital Dr, Mountain Home, AR 72653-2955 2017-03-31
1912226234 Franklin John Gray Jr. Hospitalist 624 Hospital Dr, Suite A, Mountain Home, AR 72653-2955 2010-05-26
1366501827 Arlene Lou Johnson Hospitalist 624 Hospital Dr, Mountain Home, AR 72653 2006-12-08
1174609713 First In Service Hospitalists, Pa Hospitalist 624 Hospital Dr, Mountain Home, AR 72653-2955 2006-10-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417588690 Premier Hospitalists of Nwa, Pllc Hospitalist 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 2020-01-28
1043865082 Sean Luke Davidson Hospitalist 3305 Malloy St, Little Rock, AR 72204-4480 2019-08-06
1932520764 South Arkansas Emergency Physicians, LLP Hospitalist 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 2013-12-20
1447671490 South Arkansas Emergency Physicians, LLP Hospitalist 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 2013-12-18
1033454723 Prime Physicians LLC Hospitalist 5808 Callaway Ln, Fort Smith, AR 72916-8437 2012-12-06
1316204746 Stephanie Michelle Henkel Hospitalist 2710s Rife Medical Ln, Rogers, AR 72758-1452 2012-04-23
1629366471 Chandra Shekhar Dasari Hospitalist 4301 W Markham St # 795, Little Rock, AR 72205-7101 2011-07-14
1316230816 Joe David May Hospitalist 8072 Ironstone Dr, Alexander, AR 72002-5007 2011-05-17
1740411511 Chandra S Lingisetty Hospitalist College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 2009-07-28
1821282526 Abhijit Shivkumar Hospitalist 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 2007-09-05
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Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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