DR. R KEITH DAVIS M.D. NPI 1104826320

NPI Information

  • NPI: 1104826320
  • Provider Name: DR. R KEITH DAVIS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 PERSHING HWY
    SMACKOVER, AR
    ZIP 71762
  • Phone: (870) 725-3471

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NPI Details

DR. R Keith Davis, M.D. is a family medicine in Smackover, AR with 25 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. DR. R Keith Davis, M.D. NPI is 1104826320. 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:2000

The provider's business location address is:

1400 PERSHING HWY
SMACKOVER, AR
ZIP 71762-300
Phone: (870) 725-3471
Fax: (870) 725-3215

The NPI 1104826320 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Hemoglobin a1c level (HCPCS:83036)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Automated urinalysis test (HCPCS:81003)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/29/2005 and was last updated on 2/21/2013.

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 MedicineE3055ARKANSASYes

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
15M036OTHERARKANSASBCBS
2145479001MEDICAIDARKANSAS
3A002OTHERARKANSASTRICARE
4H49756MEDICARE UPINARKANSAS
55M036MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE

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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