Arkansas Center for Surgical Excellence

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3759 Issued in AR

Legal business name

ARKANSAS CENTER FOR SURGICAL EXCELLENCE

Practice address

208 McAuley CT
Hot Springs, AR 71913-6312

Phone

(501) 623-4485

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daron C Praetzel, DDSNPI 1164516662

Title

Owner

Phone

(501) 623-4485

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Arkansas Center for Surgical ExcellenceCCN 04C0001086

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Acse Anesthesia, PLC

  • Ambulatory Surgical Clinic/Center
  • Hot Springs, AR
  • NPI 1124366612
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daron Carl Praetzel, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hot Springs, AR
  • NPI 1164516662
  NPD Authorized official

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1053685677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136312",
            "telephone_number": "501-623-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136312",
            "telephone_number": "501-623-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CENTER FOR SURGICAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "PRAETZEL",
        "authorized_official_first_name": "DARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-623-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcare (ARcare49)
• Arcare (Arcare166)
• Arcare (ARcare83)
• Mariyo Kenshawn Archie
• Area Agency on Aging of West Central Arkansas, Inc.
• Arkansas Complete Care (Complete Pulmonary Rehab)
• Arkansas Complete Care (Complete PFT Services)
• Arkansas CVS Pharmacy, LLC (CVS Pharmacy # 10539)
• Arkansas Family Home Care LLC
• Arkansas Gastroenterology Endoscopy Center

• Ambulatory Surgical Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, 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 Feb 29, 2012; 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.