Active NPI
Scott Allen Ludwig, CRNA
- Certified Registered Nurse Anesthetist
- Rogers, AR
National Provider Identifier
1619910056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R77880
- Practice address
- 2710 S Rife Medical LN
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- Fax
- (479) 338-3056
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 18, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D108643 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | R77880 | AR | Primary |
| Registered Nurse | 163W00000X | 108643 | IA |
Addresses
Primary practice location
2710 S Rife Medical LN
Rogers, AR 72758-1452
Mailing address
PO Box 507
Lowell, AR 72745-0507
Phone (913) 647-4100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00421666 | Other | AR | RAILROAD |
| 200124100A | Medicaid | OK | |
| 5A209 | Other | AR | BCBS ARKANSAS |
| 09737 | Other | IA | BLUE CROSS |
| 918469529 | Medicaid | MO | |
| 163655001 | 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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R77880 | AR | MD | Certified Registered Nurse Anesthetist |
| D108643 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert H and Teresita S Petty | Past | Accepting new patients | |
| Gregory L Hummel MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Independence, MO
- NPI 1942377320
-
dba Crossroads Anesthesia
- Anesthesiology Physician
- Effingham, IL
- NPI 1306913868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1619910056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450507",
"telephone_number": "913-647-4100",
"fax_number": "913-647-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 S RIFE MEDICAL LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-8000",
"fax_number": "479-338-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D108643",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "R77880",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "108643",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00421666",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200124100A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ARKANSAS",
"identifier": "5A209",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09737",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918469529",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163655001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.