Active NPI
Endoscopy Center of Arkansas, LLC
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
National Provider Identifier
1063470730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- AR4262
- Legal business name
- ENDOSCOPY CENTER OF ARKANSAS, LLC
- Practice address
- 1024 N University Ave
Little Rock, AR 72207-6347 - Phone
- (501) 537-0900
- Fax
- (501) 537-0901
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela J Hooper, RN
- Title
- Administrator
- Phone
- (501) 537-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | AR4262 | AR | Primary |
Addresses
Primary practice location
1024 N University Ave
Little Rock, AR 72207-6347
Mailing address
1024 N University Ave
Little Rock, AR 72207-6347
Phone (501) 537-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050215000720 | AR | Part B Supplier - Ambulatory Surgical Center | 5092767301 | Practice locations: Little Rock, AR |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopy Center of Arkansas LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1032604 | Endoscopy Center of Arkansas | Certificate of waiver | Oct 25, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Little Rock, AR
- NPI 1023381738
Member Of
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1730280165
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1932197118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063470730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722076347",
"telephone_number": "501-537-0900",
"fax_number": "501-537-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722076347",
"telephone_number": "501-537-0900",
"fax_number": "501-537-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPY CENTER OF ARKANSAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOOPER",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "501-537-0900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AR",
"license": "AR4262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.