Active NPI
Craig Keever, MD
- Pediatrics Physician
- Rogers, AR
National Provider Identifier
1730122102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E3170
- Practice address
- 5507 W Walsh LN Ste 101
Rogers, AR 72758-9007 - Phone
- (479) 544-9432
- Fax
- (479) 544-9443
- NPI assigned
- Jun 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E3170 | AR | Primary |
Addresses
Primary practice location
5507 W Walsh LN Ste 101
Rogers, AR 72758-9007
Mailing address
5507 W Walsh LN Ste 101
Rogers, AR 72758-9007
Phone (479) 544-9432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146352001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3170 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QHG of Springdale Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Northwest Medical Center of Washington County
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
- NPI 1730292434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1730122102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 W WALSH LN STE 101",
"city": "ROGERS",
"state": "AR",
"postal_code": "727589007",
"telephone_number": "479-544-9432",
"fax_number": "479-544-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 W WALSH LN STE 101",
"city": "ROGERS",
"state": "AR",
"postal_code": "727589007",
"telephone_number": "479-544-9432",
"fax_number": "479-544-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEVER",
"first_name": "CRAIG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E3170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146352001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.