Individual provider Active NPI

Kevin R Crowder, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1902894223
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01290 Issued in AR
Practice address
11401 Interstate 30
Little Rock, AR 72209-7042
Phone
(501) 455-7100
Fax
(501) 455-7399
NPI assigned
Oct 11, 2005
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C01290 AR Primary

Addresses

Primary practice location

11401 Interstate 30
Little Rock, AR 72209-7042

Mailing address

PO Box 22390
Hot Springs, AR 71903-2390
Phone (800) 235-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000476 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557257102 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828

1703 N Buerkle S
Arkansas Health Group Anesthesia
Stuttgart, AR 72160-3153
Phone (501) 202-2093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
C01290ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC CurrentSince Jun 15, 2023 Accepting new patients
Arkansas Health Group CurrentSince Mar 31, 2003 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Jun 15, 2023 Accepting new patients
Arkansas Health Group CurrentSince Mar 31, 2003 Accepting new patients
Jonesboro Anesthesia Inc Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Ouachita Regional Anesthesia PLLC Past Accepting new patients

Locations

10001 Lile Dr
Ste 200
Little Rock, AR 72205
Phone (501) 227-8000

10915 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 747-2828

10915 N Rodney Parham Rd
Ste A
Little Rock, AR 72212
Phone (501) 747-2023

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

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

11401 Interstate 30
Little Rock, AR 72209
Phone (501) 321-1000

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1902894223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 INTERSTATE 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097042",
            "telephone_number": "501-455-7100",
            "fax_number": "501-455-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01290",
            "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 14, 2014; 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.

Verify at the official NPI Registry.