Active NPI
Kevin R Crowder, CRNA
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C01290
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C01290 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Gastroenterology Associates PLLC | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Premier Gastroenterology Associates PLLC | Current | Accepting new patients | |
| Arkansas Health Group | Current | 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.
-
dba Arkansas Health Group Anesthesia
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1538663729
-
- Interventional Pain Medicine Physician
- Little Rock, AR
- NPI 1659430734
-
- Certified Registered Nurse Anesthetist
- Pine Bluff, AR
- NPI 1336509819
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
dba Premier Surgery Center
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1073079596
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1982699153
-
- General Acute Care Hospital
- Stuttgart, AR
- NPI 1306921747
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.