Jonathan L Davis, MD | |
3215 N. North Hills Blvd., Fayetteville, AR 72703 | |
(479) 463-7102 | |
(479) 463-7864 |
Full Name | Jonathan L Davis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 3215 N. North Hills Blvd., Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679556880 | NPI | - | NPPES |
047338101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L1828 (Texas) | Secondary |
208M00000X | Hospitalist | E-2690 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ies Hsp Arkansas Pllc | 7416327523 | 22 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082 |
Entity Name | Ies Hsp Arkansas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
Entity Name | Springdale Bentonville Hbp Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
Mailing Address | Practice Location Address |
---|---|
Jonathan L Davis, MD 12 East Appleby Road, Suite 102, Fayetteville, AR 72703 Ph: (479) 463-7102 | Jonathan L Davis, MD 3215 N. North Hills Blvd., Fayetteville, AR 72703 Ph: (479) 463-7102 |
Jay P Hinkle, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3336 N. Futrall, Fayetteville, AR 72703 Phone: 479-463-3000 Fax: 479-463-3050 | |
Thida Win, M.D Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Jonna M. Dyer, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd., Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dr. Fabian Enrique Latorre Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 | |
Dr. Jon Garrett Mccowan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dr. Joshua Michael Spore, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 | |
Derinda Trobaugh, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 |