Active NPI
Cody D Hobby, CRNA
- Certified Registered Nurse Anesthetist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 215981
- Practice address
- 2710 S Rife Medical Lane
Rogers, AR 72758-1452 - Phone
- (479) 338-8000
- Fax
- (479) 338-3056
- NPI assigned
- Feb 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R089298 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 215981 | AR | Primary |
Addresses
Primary practice location
2710 S Rife Medical Lane
Rogers, AR 72758-1452
Mailing address
PO Box 507
Lowell, AR 72745-0507
Phone (913) 647-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910099456 | Medicaid | MO | |
| 85CA84 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arkansas College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000
300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1930
700 W Grove St
Medical Center of South Arkansas
El Dorado, AR 71730-4416
Phone (870) 863-2000
Hospital & facility affiliations
- National Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R089298 | AR | MD | Registered Nurse |
| 215981 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Anesthesia PLLC | Current | Accepting new patients | |
| Anesthesia Services of Benton County PA | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000
8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030
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.
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1982699153
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rogers, AR
- NPI 1013084482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1851982987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450507",
"telephone_number": "913-647-4100",
"fax_number": "913-647-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 S RIFE MEDICAL LANE",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-8000",
"fax_number": "479-338-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBY",
"first_name": "CODY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-01",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R089298",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "215981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910099456",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85CA84",
"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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.