MOUNTAIN HOME SURGERY CENTER (NPI# 1205978780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205978780 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HOME SURGERY CENTER |
| Practice Address |
360 Highway 5 N Mountain Home AR 72653-3039 |
| Practice Telephone | 8704252277 |
| Practice Fax Number | 8704252021 |
| Mailing Telephone | 8704252277 |
| Mailing Fax Number | 8704252021 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-02-08 |
| Authorized Official Name | DR. KENNETH ALLAN JONES (PRESIDENT) |
| Authorized Official Telephone | 8704252277 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2345 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE LICENSE NUMBER | 2345 | 01 |
| AR | 194829128 | 05 | |
| AR | 118386128 | 05 |
| Street Address |
360 HIGHWAY 5 N |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861405243 | Whitney D Mcfall | Optometrist | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2006-08-15 |
| 1497029466 | Mountain Home Surgery Center, Inc. | Clinic/Center | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2012-03-08 |
| 1235358052 | Allen S Mcgaughey | Ophthalmology | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-04-24 |
| 1316081920 | Denise Clarke | Occupational Therapist | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-02-16 |
| 1659414662 | William Dixwell Hill | Ophthalmology | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-02-15 |
| 1770624611 | Ozark Eye Center, Pa | Ophthalmology | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-02-12 |
| 1568510949 | Kenneth A Jones | Ophthalmology | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-01-08 |
| 1720135015 | Michael Aaron Wheeler | Optometrist | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972895613 | Twin Lakes Surgery Center, LLC | Clinic/Center | 525 Burnett Dr, Mountain Home, AR 72653-2940 | 2011-05-13 |
| 1518145606 | Lt Surgical Services, LLC | Clinic/Center | 1310 Eastside Centre Ct, #6-142, Mountain Home, AR 72653-2705 | 2008-01-31 |
| 1497029466 | Mountain Home Surgery Center, Inc. | Clinic/Center | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2012-03-08 |
| 1477880433 | Toad Suck Surgical Services, LLC | Clinic/Center | 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653-2705 | 2009-11-12 |
| 1609987361 | Physicians Surgical Center of The Ozarks | Clinic/Center | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2006-08-31 |
| 1740398445 | Harrison Surgery Center, LLC | Clinic/Center | 2943 Highway 62 W, Mountain Home, AR 72653-6535 | 2006-08-25 |
| 1730132853 | Outpatient Surgery Center, Inc. | Clinic/Center | 160 Highway 201 N, Mountain Home, AR 72653-3158 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675285 | Orthoarkansas Spine Institute Procedure Center LLC | Clinic/Center | 800 Fair Park Blvd Ste 300, Little Rock, AR 72204-1720 | 2020-10-07 |
| 1477178879 | Surgcenter of Fayetteville, LLC | Clinic/Center | 1905 E Mission Blvd Ste 5, Fayetteville, AR 72703-3129 | 2020-06-11 |
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1487122669 | Conway Cardiovascular Surgery Center, LLC | Clinic/Center | 650 United Dr Ste 120, Conway, AR 72032-7826 | 2018-11-06 |
| 1194209437 | Precision Surgical Center of Northwest Arkansas, LLC | Clinic/Center | 3728 S Pinnacle Hills Pkwy, Rogers, AR 72758-8897 | 2018-09-22 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679001028 | Centerview Surgery Center, LLC | Clinic/Center | 1310 Centerview Dr, Little Rock, AR 72211-4349 | 2017-05-30 |
| 1386177376 | Executive Surgery Center of Little Rock, LLC | Clinic/Center | 11220 Executive Center Dr, Suite 100, Little Rock, AR 72211-4320 | 2017-04-06 |
| 1639615297 | Surgery Center At The Reserve, P.a., Inc. | Clinic/Center | 2241 Hillpark Cove, Suite B, Jonesboro, AR 72401 | 2017-01-06 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.