Active NPI
Jeremy J Crowell
- Orthotist
- Little Rock, AR
National Provider Identifier
1710084272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C49836
- Practice address
- 625 N University Ave
Little Rock, AR 72205-2917 - Phone
- (501) 664-2624
- NPI assigned
- Sep 19, 2006
- Last updated
- Feb 21, 2022
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | C49836 | MD | |
| Orthotist | 222Z00000X | C49836 | MD | Primary |
Addresses
Primary practice location
625 N University Ave
Little Rock, AR 72205-2917
Mailing address
203 Hickory St
Edinboro, PA 16412-2016
Phone (571) 214-4392
Other practice location 1
203 Hickory St
Edinboro, PA 16412-2016
Phone (571) 214-4392
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C49836 | MD | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcend Orthotics & Prosthetics, LLC | Orthotist | Past | Accepting new patients |
| Transcend Orthotics & Prosthetics, LLC | Multi-Specialty | 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.
-
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- Katy, TX
- NPI 1639764582
Multi-Specialty
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
- NPI 1851496756
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1710084272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HICKORY ST",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122016",
"telephone_number": "571-214-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052917",
"telephone_number": "501-664-2624"
}
],
"practiceLocations": [
{
"address_1": "203 Hickory St",
"address_purpose": "LOCATION",
"city": "Edinboro",
"state": "PA",
"postal_code": "164122016",
"country_code": "US",
"telephone_number": "571-214-4392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROWELL",
"first_name": "JEREMY",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": "MD",
"license": "C49836",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": "MD",
"license": "C49836",
"primary": true
}
],
"identifiers": [],
"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 Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.