Crittenden Cares, Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

3036139 Issued in AR

Legal business name

CRITTENDEN CARES, INC

Doing business as

Crittenden Physician Services

Practice address

228 W Tyler Ave
Suite 108
West Memphis, AR 72301-4223

Phone

(870) 732-3353

Fax

(870) 732-2662

NPI assigned

Jun 20, 2006

Organization subpart

Yes

Parent organization

CRITTENDEN CARES, INCAs reported in NPPES

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

Authorized official

Name

Mr. James R Carter

Title

Ceo

Phone

(870) 735-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crittenden Physician Services Doing business as

Part of

Crittenden Cares Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Crittenden Hospital Association

  • Infectious Disease Physician
  • West Memphis, AR
  • NPI 1700842994

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Lau Lum, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1821077975
  NPD (past)
• Alan Marc Nadel, MD

  • Neurology Physician
  • Memphis, TN
  • NPI 1073683728
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952346041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-732-3353",
            "fax_number": "870-732-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W TYLER AVE",
            "address_2": "SUITE 108",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-732-3353",
            "fax_number": "870-732-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN CARES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITTENDEN CARES, INC",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "AR",
            "license": "3036139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C324",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2692710",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenden Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Dale Criner Jr., MD
• Crittenden Adult Care Services
• Crittenden Adult Care Services L.L.C.
• Crittenden Ambulance Service Corp
• Crittenden Cares, Inc
• Crittenden Cares, Inc.
• Crittenden Emergency Group LLC
• Crittenden EMS LLC
• Crittenden Hospital Association
• Crittenden Hospital Association

• Physiological Laboratory in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Physiological Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.