Carl W Gray, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00604 Issued in AR

Practice address

11401 Interstate 30
Little Rock, AR 72209-7042

Phone

(501) 455-7100

Fax

(501) 455-7399

NPI assigned

Oct 6, 2005

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Anesthesiology Services LTD

  • Anesthesiology Physician
  • North Little Rock, AR
  • NPI 1184687881
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC

  dba Rivercrest Specialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1548256365
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC

  dba Rivercrest Anesthesia Services

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1861488587
  NPD (past)
• McGehee Desha County Hospital

  dba McGehee Community Clinic

  • Clinic/Center
  • McGehee, AR
  • NPI 1770756769
  NPD (past)
• Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1982699153
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1417945148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 INTERSTATE 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097042",
            "telephone_number": "501-455-7100",
            "fax_number": "501-455-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CARL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00195200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "59681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Graves
• Stephanie Graves
• Jennifer A Gravette, CPNP
• Dominique Maurice Gray-Coats
• Abby Gray
• Carolyn Ann Gray
• Deborah Gray, P.T.
• Deidre Gray, LCSW
• Emily Gray
• Irol Torin Gray, MD

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.