Active NPI
Spa City Pain Management
- Pain Medicine Physician
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- SPA CITY PAIN MANAGEMENT
- Practice address
- 117 Piper St Ste L
Hot Springs, AR 71901-8263 - Phone
- (501) 651-0018
- Fax
- (501) 463-6326
- NPI assigned
- Jan 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Crabtree, DO
- Title
- Director
- Phone
- (501) 651-0018
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
117 Piper St Ste L
Hot Springs, AR 71901-8263
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760649388 | Other | AR | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2265016 | Spa City Pain Management Clinic | Certificate of waiver | Jul 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
117 Piper St
Ste L
Hot Springs, AR 71901
Phone (501) 651-0018
117 Piper St
Ste Ln
Hot Springs, AR 71901
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Hot Springs, AR
- NPI 1760649388
-
- Family Nurse Practitioner
- Hot Springs, AR
- NPI 1548896962
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1023542990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1043971096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PIPER ST STE L",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018263",
"telephone_number": "501-651-0018",
"fax_number": "501-463-6326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPA CITY PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-03",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "CRABTREE",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "501-651-0018",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760649388",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.