Active NPI
Keith D Hough, M.D.
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1295732758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7704 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benny J Green MD PA | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1043246168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.