CHARLES D DAVIDSON M.D. NPI 1457425902

NPI Information

  • NPI: 1457425902
  • Provider Name: CHARLES D DAVIDSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1210 W MAIN ST
    WALNUT RIDGE, AR
    ZIP 72476
  • Phone: (870) 886-3543

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NPI Details

Charles D Davidson, M.D. is a family medicine in Walnut Ridge, AR with 34 years of experience. The provider is 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. Charles D Davidson, M.D. NPI is 1457425902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1210 W MAIN ST
WALNUT RIDGE, AR
ZIP 72476-005
Phone: (870) 886-3543
Fax: (870) 886-3252

The NPI 1457425902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Hemoglobin a1c level (HCPCS:83036)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Uric acid level, blood (HCPCS:84550)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Liver function blood test panel (HCPCS:80076)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineN8263ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155949MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2F40680MEDICARE UPINARKANSAS
355949OTHERARKANSASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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