Individual provider Active NPI

Gail A McCracken, MD

  • Pulmonary Disease Physician
  • Little Rock, AR
National Provider Identifier
1447203120
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C6075 Issued in AR
Practice address
5800 W 10TH St
Suite 610 Freeway Medical Center
Little Rock, AR 72204-1755
Phone
(501) 661-9393
Fax
(501) 663-4795
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C6075 AR Primary

Addresses

Primary practice location

5800 W 10TH St
Suite 610 Freeway Medical Center
Little Rock, AR 72204-1755

Mailing address

5800 W 10TH St
Suite 610 Freeway Medical Center
Little Rock, AR 72204-1755
Phone (501) 661-9393

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
I20100915000356 AR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800911843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6075ARMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1447203120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 610 FREEWAY MEDICAL CENTER",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041755",
            "telephone_number": "501-661-9393",
            "fax_number": "501-663-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 610 FREEWAY MEDICAL CENTER",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041755",
            "telephone_number": "501-661-9393",
            "fax_number": "501-663-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "GAIL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "C6075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.