Active NPI
Carol Crittendon, M.D.
- Anesthesiology Physician
- Little Rock, AR
National Provider Identifier
1477549251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R-4276
- Practice address
- 500 S University Ave
Suite 505
Little Rock, AR 72205-5307 - Phone
- (501) 664-4532
- Fax
- (501) 663-4335
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R-4276 | AR | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R-4276 | AR |
Addresses
Primary practice location
500 S University Ave
Suite 505
Little Rock, AR 72205-5307
Mailing address
500 S University Ave
Suite 505
Little Rock, AR 72205-5307
Phone (501) 664-4532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11711000020 | Other | AR | QUAL CHOICE (LRPM) |
| 71033532430 | Other | AR | QUAL CHOICE |
| 54883 | Other | AR | BLUE CROSS BLUE SHIELD |
| S00911 | Other | AR | NOVASYS |
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 |
|---|---|---|---|
| R-4276 | AR | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Infirmary Medical Center | Anesthesiology | Past | Accepting new patients |
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.
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1477549251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE",
"address_2": "SUITE 505",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055307",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE",
"address_2": "SUITE 505",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055307",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITTENDON",
"first_name": "CAROL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "R-4276",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AR",
"license": "R-4276",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE (LRPM)",
"identifier": "11711000020",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "71033532430",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "54883",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS",
"identifier": "S00911",
"state": "AR"
}
],
"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 Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.