Active NPI
C Don Greenway, M.D.
- Specialist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C4718
- Practice address
- 409 N University Ave
Little Rock, AR 72205-3108 - Phone
- (501) 664-6980
- Fax
- (501) 664-4738
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C4718 | AR | Primary |
Addresses
Primary practice location
409 N University Ave
Little Rock, AR 72205-3108
Mailing address
409 N University Ave
Little Rock, AR 72205-3108
Phone (501) 664-6980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104495001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4718 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Clinics of Arkansas, PLLC | Specialist | Current | Accepting new patients |
| Arkansas Health Group | Past | Accepting new patients | |
| Arkansas Gastroenterology | Specialist | Past | Accepting new patients |
Locations
409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561
3401 Springhill Dr
Ste 400
North Little Rock, AR 72117
Phone (501) 945-3343
3401 Springhill Dr
Ste 400A
North Little Rock, AR 72117
Phone (501) 791-3800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- North Little Rock, AR
- NPI 1972944064
-
- Gastroenterology Physician
- Springdale, AR
- NPI 1508400425
-
- Specialist
- North Little Rock, AR
- NPI 1952358657
-
dba Ouachita Valley Family Practice/A Baptist Affiliate
- Rural Health Clinic/Center
- Camden, AR
- NPI 1538132402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1891799722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053108",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWAY",
"first_name": "C",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "C4718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104495001",
"state": "AR"
}
],
"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 Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.