Organization Active NPI

Pinnacle Family Medicine, P.a.

  • Primary Care Clinic/Center
  • Little Rock, AR
National Provider Identifier
1851436117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
BL136578 Issued in AR
Legal business name
PINNACLE FAMILY MEDICINE, P.A.
Practice address
11321 Interstate 30
Suite 202
Little Rock, AR 72209-7040
Phone
(501) 975-1915
Fax
(501) 975-1917
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen Webb Crowell, M.D.NPI 1477632099
Title
Physician
Phone
(501) 975-1915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X BL136578 AR Primary

Addresses

Primary practice location

11321 Interstate 30
Suite 202
Little Rock, AR 72209-7040

Mailing address

11321 Interstate 30
Suite 202
Little Rock, AR 72209-7040
Phone (501) 975-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000398 AR Part B Supplier - Clinic/Group Practice 9032160957 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

11321 Interstate 30
Ste 202
Little Rock, AR 72209
Phone (501) 455-7021

11321 Interstate 30
Ste 205
Little Rock, AR 72209
Phone (501) 455-7004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851436117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30",
            "address_2": "SUITE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-975-1915",
            "fax_number": "501-975-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30",
            "address_2": "SUITE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-975-1915",
            "fax_number": "501-975-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-975-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "BL136578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.