ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC (NPI# 1922068295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922068295 |
Entity Type | Organization |
Organization Name | ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC |
Other Organization Name | ASEC |
Practice Address |
4800 Hazel Street Pine Bluff AR 71603 |
Mailing Address |
Po Box 925 Pine Bluff AR 71613 |
Practice Telephone | 8705364800 |
Practice Fax Number | 8705345535 |
Mailing Telephone | 8705364800 |
Mailing Fax Number | 8705345535 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2015-01-08 |
Authorized Official Name | MRS. JULIA SWANK (ADMINISTRATOR) |
Authorized Official Telephone | 8705364800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
R4495 | AR | Ambulatory Health Care Facilities |
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
R4495 | AR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED HEALTHCARE | 6800006 | 01 | |
AETNA | 5938123 | 01 | |
RAILROAD MEDICARE | 490002996 | 01 | |
AR | 128777128 | 05 | |
AR | BLUE CROSS BLUE SHIELD | 11004 | 01 |
Other Name | Type Code |
---|---|
ASEC | Doing Business As Name - Organization |
Street Address |
4800 HAZEL STREET |
City | PINE BLUFF |
State | AR |
Zip Code | 71603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
Find all providers in zip 71603 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922016898 | James Trice Md Pa | Clinic/Center | 7005 S Hazel St, Pine Bluff, AR 71603-7833 | 2006-08-04 |
1023057916 | Physicians Day Surgery Center | Clinic/Center | 2705 S Orlando St, Pine Bluff, AR 71603-4718 | 2006-06-06 |
1962478115 | South Ark Ear Nose & Throat Clinic P A | Clinic/Center | 4310 S Mulberry St, Pine Bluff, AR 71603-7030 | 2006-02-27 |
1831721570 | Sarc By Hsi Pine Buff LLC | Clinic/Center | 7200 S Hazel St, Pine Bluff, AR 71603-7836 | 2020-02-11 |
1710934542 | Jefferson Surgery Center Pllc | Clinic/Center | 1609 W 40th Ave, Jrmc Professional Center, Suite 103, Pine Bluff, AR 71603-6329 | 2006-05-27 |
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---|---|---|---|---|
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 | PINE BLUFF |
Zip Code | 71603 |
Please comment or provide details below to improve the information on ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC.
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.