Individual provider Active NPI

Herschel Dean Raney Jr., M.D.

  • Internal Medicine Physician
  • Conway, AR
National Provider Identifier
1639186273
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C6656 Issued in AR
Practice address
1475 Hogan LN
Suite #121
Conway, AR 72034-8287
Phone
(501) 327-3344
Fax
(501) 327-2998
NPI assigned
Aug 2, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C6656 AR Primary

Addresses

Primary practice location

1475 Hogan LN
Suite #121
Conway, AR 72034-8287

Mailing address

1475 Hogan LN
Suite #121
Conway, AR 72034-8287
Phone (501) 327-3344

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
I20040811000904 AR Practitioner - Internal Medicine 8820060684

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1639186273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HOGAN LN",
            "address_2": "SUITE #121",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348287",
            "telephone_number": "501-327-3344",
            "fax_number": "501-327-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOGAN LN",
            "address_2": "SUITE #121",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348287",
            "telephone_number": "501-327-3344",
            "fax_number": "501-327-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEY",
        "first_name": "HERSCHEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C6656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.