Individual provider Active NPI

Russell L Cranford, M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1811968092
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5042 Issued in AR
Practice address
11719 Hinson Road
Suite 110
Little Rock, AR 72212-3402
Phone
(501) 224-2875
Fax
(501) 221-9251
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C 5042 AR
Family Medicine Physician 207Q00000X C-5042 AR Primary

Addresses

Primary practice location

11719 Hinson Road
Suite 110
Little Rock, AR 72212-3402

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100429000468 AR Practitioner - Family PracticePractitioner - General Practice 6204837313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

11719 Hinson Rd
Suite 110
Little Rock, AR 72212-3471
Phone (501) 224-2875

6015 Chenonceau Blvd
Suite 140
Little Rock, AR 72223-4584
Phone (501) 868-8410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C 5042ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Family Medicine Current Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2017 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Jun 27, 2022 Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

11719 Hinson Rd
Ste 110
Little Rock, AR 72212
Phone (501) 224-2875

6015 Chenonceau Blvd
Ste 140
Little Rock, AR 72223
Phone (501) 868-8410

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2508 Crestwood Rd
North Little Rock, AR 72116
Phone (501) 758-2294

Interoperability endpoints

  • Direct secure messaging: rcranford2062@direct.baptist-healthar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1811968092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-812-7800",
            "fax_number": "501-812-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 HINSON ROAD",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123402",
            "telephone_number": "501-224-2875",
            "fax_number": "501-221-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANFORD",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C 5042",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.