NPIMap

Individual provider Active NPI

Marcus A Crouther, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1770520819
Registry record updated Nov 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N-7565 Issued in AR
Practice address
1400 Main St
Little Rock, AR 72202-5036
Phone
(501) 371-0055
Fax
(501) 371-0088
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N-7565 AR Primary

Addresses

Primary practice location

1400 Main St
Little Rock, AR 72202-5036

Mailing address

PO Box 165456
Little Rock, AR 72216-5456
Phone (501) 371-0055

Other identifiers 1

IdentifierTypeStateIssuer
114941001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000622 AR Practitioner - Family PracticePractitioner - Emergency Medicine 2769383587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Comprehensive Care System, Inc 12 clinicians

Practice addresses (Care Compare)

1101 S Tennessee St
Pine Bluff, AR 71601-5801

1101 Tennesee St
Pine Bluff, AR 71603-5801
Phone (870) 543-2380

1101 Tennessee St
Pine Bluff, AR 71601-5801

2525 Willow St
North Little Rock, AR 72114-2213
Phone (501) 812-0225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Comprehensive Care System, Inc Current Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Jan 16, 2019 Accepting new patients
Hope-Hempstead Emegency Group LLC Past Accepting new patients
Markham Emergency Physicians LLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Four States Emergency Physicians Past Accepting new patients
Jacksonville Emergency Medicine LLC Past Accepting new patients
Texarkana Emergency Physicians PLLC Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Memorial Hospital San Augustine Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Acs Primary Care Physicians of Arkansas PA Past Accepting new patients
Tyler Emergency Physicians Past Accepting new patients

Locations

1400 Main St
Little Rock, AR 72202
Phone (501) 371-0055

2525 Willow St
#1
North Little Rock, AR 72114
Phone (870) 543-2300

2525 Willow St
North Little Rock, AR 72114
Phone (501) 812-0225

1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1770520819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165456",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722165456",
            "telephone_number": "501-371-0055",
            "fax_number": "501-371-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025036",
            "telephone_number": "501-371-0055",
            "fax_number": "501-371-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUTHER",
        "first_name": "MARCUS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N-7565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114941001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.