Charles W Craft, DO
Individual provider Active NPI Family Medicine Physician · Barling, AR
NPI 1013945138 · NPPES record last updated Mar 21, 2022
Key facts
- NPI
- 1013945138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- N-5840 (AR)
- Practice address
- 7003 Chad Colley Blvd
Barling, AR 72923-3000 - Phone
- (479) 431-3500
- Fax
- (479) 452-2098
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Owned or controlled facilities with NPI records 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Pink Bud Home for the Golden Years |
Skilled nursing facility | Adp of the SNF | Apr 18, 2025 |
| Area Agency on Aging of Western Arkansas, Inc |
Hospice | Corporate Director | Aug 25, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091215000163 | AR | Practitioner - Family Practice | 4385784826 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-5840 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients |
Locations
7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N-5840 | AR | Yes |
Addresses
Primary practice location
7003 Chad Colley Blvd
Barling, AR 72923-3000
Mailing address
7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone (479) 431-3500
Other practice location 1
20 North Aster
Greenwood, AR 72936
Phone (479) 996-4111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010029987 | Other | RR MEDICARE | |
| 118096003 | Medicaid | AR |
Other providers in Barling, AR
- Jason Cothran
- Craig Cox
- Lauren Cox
- James Crabill
- Andrea Crabtree
- Aaron Crawford
- Lisa Curry
- Sarah Curtis
- Concietta Daniels
- Lucas Davis
All providers in Barling, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.