Individual provider Active NPI

Keith D Hough, M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1295732758
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7704 Issued in AR
Practice address
14309 Cantrell Rd
Suite 7
Little Rock, AR 72223-4217
Phone
(501) 224-6727
Fax
(501) 224-0374
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7704 AR Primary

Addresses

Primary practice location

14309 Cantrell Rd
Suite 7
Little Rock, AR 72223-4217

Mailing address

14 Belle River Cir
Maumelle, AR 72113-7025
Phone (501) 851-2382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000713 AR Practitioner - Family Practice 8921141003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7704ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benny J Green MD PA Family Medicine CurrentSince Jun 1, 1999 Accepting new patients

Locations

14309 Cantrell Rd
Ste 7
Little Rock, AR 72223
Phone (501) 224-6727

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1295732758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BELLE RIVER CIR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137025",
            "telephone_number": "501-851-2382",
            "fax_number": "501-803-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 CANTRELL RD",
            "address_2": "SUITE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234217",
            "telephone_number": "501-224-6727",
            "fax_number": "501-224-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.