Individual provider Active NPI

Chet Alvis Crawford, M.D.

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1639465719
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7723 Issued in AR
Practice address
3017 N Bob Younkin Dr
Fayetteville, AR 72703-3926
Phone
(479) 463-8888
Fax
(479) 463-8889
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7723 AR Primary

Addresses

Primary practice location

3017 N Bob Younkin Dr
Fayetteville, AR 72703-3926

Mailing address

3017 N Bob Younkin Dr
Fayetteville, AR 72703-3926
Phone (479) 463-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130424000782 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8426294158 Reassigns benefits to 5 organizations
I20220221000915 FL Practitioner - Family Practice 8426294158

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc. 96 clinicians

Practice addresses (Care Compare)

451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011

Hospital & facility affiliations

  • Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
  • Little River Memorial Hospital Nursing home, CCN 04Z320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions Region III CurrentSince Feb 1, 2023 Accepting new patients
Correct Care, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Flagg Emergency Group, PLLC CurrentSince May 20, 2019 Accepting new patients
HCC of Magnolia LLC CurrentSince Feb 1, 2023 Accepting new patients
Monticello Ess LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: chet.crawford.1@14285.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1639465719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 N BOB YOUNKIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033926",
            "telephone_number": "479-463-8888",
            "fax_number": "479-463-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 N BOB YOUNKIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033926",
            "telephone_number": "479-463-8888",
            "fax_number": "479-463-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHET",
        "middle_name": "ALVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E7723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.