Interventional Surgery Institute of Little Rock, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC

Practice address

9 Freeway Drive
Suite a
Little Rock, AR 72204

Phone

(844) 215-0731

Fax

(501) 404-9625

NPI assigned

Jun 25, 2014

Organization subpart

Yes

Parent organization

APTA HOLDINGS II, LLCAs reported in NPPES

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

Authorized official

Name

William McCrary

Title

Ceo

Phone

(501) 346-8116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Interventional Surgery Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Interventional Surgery InstituteCCN 04C0001074

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mikhail Y Ivanovsky, MD

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1598810244
  NPD (past)
• Noemi Espinola Salang Ramsay, MD

  • Pain Medicine (Anesthesiology) Physician
  • Little Rock, AR
  • NPI 1508822735
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1043625221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N. SHACKLEFORD ROAD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-346-8116",
            "fax_number": "501-771-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FREEWAY DRIVE",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "telephone_number": "844-215-0731",
            "fax_number": "501-404-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APTA HOLDINGS II, LLC",
        "enumeration_date": "2014-06-25",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-346-8116"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208454128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.

Verify at the official NPI Registry.