CHARLES D DAVIDSON (NPI# 1457425902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457425902 |
| Entity Type | Individual |
| Full Name | CHARLES D DAVIDSON |
| Credential | M.D. |
| Practice Address |
1210 W Main St Walnut Ridge AR 72476-1005 |
| Mailing Address |
Po Box 719 Walnut Ridge AR 72476-0719 |
| Practice Telephone | 8708863543 |
| Practice Fax Number | 8708863252 |
| Mailing Telephone | 8708863543 |
| Mailing Fax Number | 8708863252 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N8263 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 55949 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023423936 | Charles Davidson | Community Health Worker | 8001 Allison Dr Se, Huntsville, AL 35802-4019 | 2014-06-30 |
| 1386936441 | Charles Jay Davidson | Chiropractor | 2108 Drake Ln, Hercules, CA 94547-5464 | 2011-05-09 |
| 1891985438 | Charles S Davidson | Rehabilitation Practitioner | 1930 Royal Dr, Conway, AR 72034-7346 | 2007-07-30 |
| 1356458525 | Charles Gerald Davidson Jr. | Dentist | 200 N Jackson St, Athens, TN 37303-3640 | 2006-08-24 |
| 1588658645 | Charles Stephen Davidson | Emergency Medicine | 5200 N Croatan Hwy, Kitty Hawk, NC 27949-3990 | 2005-09-06 |
| 1245839000 | Charles Jordan Davidson | Optometrist | 535 Wellington Way Ste 160, Lexington, KY 40503-1387 | 2020-10-22 |
| 1306154885 | Charles Andrew Davidson | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2010-09-19 |
| 1992012652 | Charles A Davidson | Marriage & Family Therapist | 7801 Academy Rd Ne, Bldg 2 Suite 200, Albuquerque, NM 87109-3379 | 2010-09-01 |
| 1649371568 | Charles Odell Davidson | Neuromusculoskeletal Medicine, Sports Medicine | 2200 Grant St, Gary, IN 46404-3439 | 2006-09-25 |
| 1922062413 | Charles Davidson | Internal Medicine | 675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975 | 2006-04-13 |
| Street Address |
1210 W MAIN ST |
| City | WALNUT RIDGE |
| State | AR |
| Zip Code | 72476-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003250945 | Cassandra Lou Hunter | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2013-04-22 |
| 1740317452 | Lawrence County Family Clinic, Pa | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2007-02-28 |
| 1942337282 | Lawrence County Family Clinic, Pa | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2007-02-27 |
| 1366516924 | Teddy S Lancaster | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-11-17 |
| 1417021007 | Sebastian A. Spades IIi | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-11-17 |
| 1124192695 | Shawn C Peyton | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-11-17 |
| 1255413092 | Clay R Spencer | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113126 | Lauren Felts | Pharmacist | 1405 W Main Suite B, Walnut Ridge, AR 72476 | 2020-04-16 |
| 1033609995 | Misty Dawn Colvey | Specialist/Technologist | 60 W Fulbright Avenue, Walnut Ridge, AR 72476 | 2018-05-16 |
| 1427570803 | Heartline Home Care LLC | Home Health | 329 West Poplar, Walnut Ridge, AR 72476 | 2017-07-07 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1780134098 | H4l Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 853 Us 63, Walnut Ridge, AR 72476 | 2016-10-11 |
| 1386023943 | Meghon Lanae Mink | Physical Therapist | 200 South Memorial Drive, Walnut Ridge, AR 72476 | 2015-05-28 |
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| Find all providers in zip 72476 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245702539 | Donna Kay Spargo | Family Medicine | 303 W Hazel St, Walnut Ridge, AR 72476-1930 | 2018-12-26 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1467544049 | Mary K Meyer | Family Medicine | 1309 West Main Street, Family Medical Center, Walnut Ridge, AR 72476-0839 | 2006-09-29 |
| 1841257813 | Carrie Hunter | Family Medicine | 3219 N Highway 67b, Walnut Ridge, AR 72455-8441 | 2006-04-26 |
| 1114468923 | Vickey Lynne Snow | Family Medicine | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2017-03-13 |
| 1184010340 | Sandra L Howard | Family Medicine | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2015-04-14 |
| 1003250945 | Cassandra Lou Hunter | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2013-04-22 |
| 1740317452 | Lawrence County Family Clinic, Pa | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2007-02-28 |
| 1942337282 | Lawrence County Family Clinic, Pa | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2007-02-27 |
| 1366516924 | Teddy S Lancaster | Family Medicine | 1210 W Main St, Walnut Ridge, AR 72476-1005 | 2006-11-17 |
| Find all providers in WALNUT RIDGE | ||||
| City | WALNUT RIDGE |
| Zip Code | 72476 |
Please comment or provide details below to improve the information on CHARLES D DAVIDSON.
| 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.