Active NPI
Joe Walter Crow, MD
- Orthopaedic Surgery Physician
- North Little Rock, AR
National Provider Identifier
1396700829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C4023
- Practice address
- 4020 Richards Rd
North Little Rock, AR 72117-2650 - Phone
- (501) 771-1600
- Fax
- (501) 955-2252
- NPI assigned
- Apr 18, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C4023 | AR | Primary |
Addresses
Primary practice location
4020 Richards Rd
North Little Rock, AR 72117-2650
Mailing address
4020 Richards Rd
North Little Rock, AR 72117-2650
Phone (501) 771-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104853001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4023 | AR | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1396700829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 RICHARDS RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172650",
"telephone_number": "501-771-1600",
"fax_number": "501-955-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 RICHARDS RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172650",
"telephone_number": "501-771-1600",
"fax_number": "501-955-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROW",
"first_name": "JOE",
"middle_name": "WALTER",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AR",
"license": "C4023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104853001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.