Provider Type Icon

TOM HUDSON LLC NPI 1245411891


NPI Information

NPI: 1245411891
Provider Name: TOM HUDSON LLC

Doing Business As: CONWAY DERMATOLOGY CLINIC

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
9 MEDICAL LANE
CONWAY, AR
ZIP 72034
Phone: (501) 327-8480
Get Directions

TOM HUDSON LLC is a dermatology in Conway, AR. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. TOM HUDSON LLC NPI is 1245411891. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conway Dermatology Clinic.

The provider's business location address is:

9 MEDICAL LANE
CONWAY, AR
ZIP 72034
Phone: (501) 327-8480

The provider's authorized official is Regina Lambert .
The authorized official title is Office Manager and has the following contact phone number (501) 327-8480.

The enumeration date for this NPI number is 11/23/2007 and was last updated on 9/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C633MEDICARE PINARKANSAS
2D84169MEDICARE UPINARKANSAS
3105042001MEDICAIDARKANSAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.