Active NPI
Charles A Musgrove, M.D.
- Emergency Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-7268
- Practice address
- 4301 W Markham St # 783
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- NPI assigned
- Jun 4, 2010
- Last updated
- Nov 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | E-7268 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St # 783
Little Rock, AR 72205-7101
Mailing address
1807 Osceola Dr
North Little Rock, AR 72116-4520
Phone (479) 234-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190460001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7268 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| South Arkansas Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Washington Regional Medical Center | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Interoperability endpoints
- cmusgrove36238@washingtonregional.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
-
dba Washington Regional Hospital Medicine Group
- Hospitalist Physician
- Fayetteville, AR
- NPI 1306801485
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
-
- Emergency Medicine Physician
- Bentonville, AR
- NPI 1447671490
-
dba Washington Regional Family Clinic - Farmington
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1700106457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 OSCEOLA DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721164520",
"telephone_number": "479-234-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSGROVE",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-7268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190460001",
"state": "AR"
}
],
"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 Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.