Constance Crisp MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E2030 Issued in AR

Legal business name

CONSTANCE CRISP MD, PA

Practice address

425 W Capitol Ave
Suite 210
Little Rock, AR 72201-3401

Phone

(866) 928-6583

Fax

(866) 928-3870

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Constance J Crisp, M.D.

Title

Director

Phone

(866) 928-6583

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Little Rock Doing business as

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1659513265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR",
            "address_2": "SUITE 117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114308",
            "telephone_number": "866-928-6583",
            "fax_number": "866-928-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CAPITOL AVE",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013401",
            "telephone_number": "866-928-6583",
            "fax_number": "866-928-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE CRISP MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-928-6583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Little Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Connor, PHARMD
• Ashley Rose Conrad, LCSW
• Ashton Conrad
• Considerate Dellacare Caregivers LLC
• Considerate Dellacare Caregivers LLC
• Contact Lenses for Less Inc
• Contourmed
• Contourmed Clinic of Arkansas, LLC
• Charlotte Conway, CRT
• Melanie W Conway, MD

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.