Individual provider Active NPI

Keith A. Norvill, D.O.

  • Neurological Surgery Physician
  • Hot Springs, AR
National Provider Identifier
1770553075
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
E-12658 Issued in AR
Practice address
180 Medical Park PL Ste 201
Hot Springs, AR 71901-8067
Phone
(719) 248-4260
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X J 3562 TX
Neurological Surgery Physician 207T00000X 49685 CO
Neurological Surgery Physician 207T00000X E-12658 AR Primary

Addresses

Primary practice location

180 Medical Park PL Ste 201
Hot Springs, AR 71901-8067

Mailing address

122 Garden Edge Dr
Hot Springs, AR 71913-6084
Phone (719) 248-4260

Other identifiers 3

IdentifierTypeStateIssuer
1005811 02MedicaidTX
P00997257OtherCORAILROAD MEDICARE
45757810MedicaidCO

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
1036HIMDClinical Psychologist
E-12658ARMDNeurological Surgery Physician
49685COMDNeurological Surgery Physician
J 3562TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith a Norvill DO Locum Tenens Neurological Surgery CurrentSince May 16, 2022 Accepting new patients
Crossroads Neurosurgical Associates, P.a. Neurological Surgery CurrentSince Feb 26, 2008 Accepting new patients
Hilo Urgent Care Center, LLC Past Accepting new patients

Locations

180 Medical Park Pl
Ste 201
Hot Springs National Park, AR 71901
Phone (501) 463-5700

2705 Hospital Dr
Ste 412
Victoria, TX 77901
Phone (361) 574-1511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1770553075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GARDEN EDGE DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136084",
            "telephone_number": "719-248-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL STE 201",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018067",
            "telephone_number": "719-248-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVILL",
        "first_name": "KEITH",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J 3562",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "49685",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-12658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005811 02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00997257",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45757810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.