NPIMap

Organization Active NPI

Tracey a. Schmucker, M.D., P.a.

Doing business as Lowery Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Searcy, AR
National Provider Identifier
1043208283
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AR5086 Issued in AR
Legal business name
TRACEY A. SCHMUCKER, M.D., P.A.
Doing business as
Lowery Surgery Center
Practice address
105 Central Avenue
Searcy, AR 72143
Phone
(501) 268-7154
Fax
(501) 268-9071
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Dr. Tracey A. Schmucker, M.D.
Title
President
Phone
(501) 268-7154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AR5086 AR Primary

Addresses

Primary practice location

105 Central Avenue
Searcy, AR 72143

Mailing address

105 Central Avenue
Searcy, AR 72143
Phone (501) 268-7154

Other names 1

  • Lowery Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618002143 AR Part B Supplier - Ambulatory Surgical Center 1658682554 Receives reassigned benefits from 1 practitioner
Practice locations: Searcy, AR

Ambulatory surgical center certification: CCN 04C0001009

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LOWERY EYE CLINIC & SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 18, 1986
Last certification
Jul 2, 2019
Ownership / control type
Proprietary
Facility address
105 Central Avenue
Searcy, AR 72143

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tracey a Schmucker MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Central Ave
Lowr Eye
Searcy, AR 72143
Phone (501) 268-7158

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1043208283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVENUE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVENUE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY A. SCHMUCKER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHMUCKER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-268-7154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowery Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.