Organization Active NPI

Market Place Medical Clinic

  • Clinic/Center
  • Little Rock, AR
National Provider Identifier
1487841946
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MC1256 Issued in AR
Legal business name
MARKET PLACE MEDICAL CLINIC
Practice address
11400 Huron LN
Little Rock, AR 72211-1847
Phone
(501) 224-0794
Fax
(501) 224-2838
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Russell L. Cranford, M.D.
Title
President/Owner
Phone
(501) 224-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MC1256 AR Primary

Addresses

Primary practice location

11400 Huron LN
Little Rock, AR 72211-1847

Mailing address

11400 Huron LN
Little Rock, AR 72211-1847
Phone (501) 224-0794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1487841946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847",
            "telephone_number": "501-224-0794",
            "fax_number": "501-224-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847",
            "telephone_number": "501-224-0794",
            "fax_number": "501-224-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET PLACE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "CRANFORD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "501-224-0794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "MC1256",
            "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 Sep 28, 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.

Verify at the official NPI Registry.