Kenneth Roy Richards, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E8766 Issued in AR

Practice address

1003 Fred Lagrone Dr
Crossett, AR 71635-4546

Phone

(870) 364-3800

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Pediatric Medicine

Education

University of Louisville School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossett Health FoundationGroup PAC ID 9133030117, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.richards@chfdacmc.eclinicaldirectplus.com

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.

• Crossett Health Foundation

  dba Ashley Health Services

  • Pediatrics Physician
  • Crossett, AR
  • NPI 1174608012
  Medicare reassignment Care Compare group NPD
• Crossett Health Foundation

  dba Family Clinic of Ashley County

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1639159973
  NPD
• Crossett Health Foundation

  dba Ashley Speciatly Clinics

  • Pediatric Otolaryngology Physician
  • Crossett, AR
  • NPI 1548252745
  NPD (past)
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1710186945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LAKEWOOD CT",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716353922",
            "telephone_number": "870-415-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 FRED LAGRONE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354546",
            "telephone_number": "870-364-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KENNETH",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E8766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203261001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.richards@chfdacmc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Fred Lagrone Dr",
            "city": "Crossett",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716354546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Resolutions Behavioral Health Service, LLC.
• Monica Gaynail Elizabeth Richards, MS, CCC-SLP
• Jamie Lynn Rindt, PA
• Phillip L Rindt, M.D.
• Lauren Rosson, SLP-A
• Stewart Rushton Jr., M.D.

• Pediatrics Physician in Crossett, AR
• Providers in Crossett, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.