Active NPI
Arkansas Surgical Hospital, LLC
- Durable Medical Equipment & Medical Supplies
- Conway, AR
National Provider Identifier
1073088068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ARKANSAS SURGICAL HOSPITAL, LLC
- Practice address
- 605 Dave Ward Dr Ste 104
Conway, AR 72034-7138 - Phone
- (501) 663-6455
- NPI assigned
- Oct 5, 2018
- Last updated
- Sep 14, 2023
- 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
- Christopher Brian Fowler
- Title
- Ceo
- Phone
- (501) 748-8089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
605 Dave Ward Dr Ste 104
Conway, AR 72034-7138
Mailing address
5201 Northshore Dr
North Little Rock, AR 72118-5312
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Surg Hosp LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1407466626
-
dba River Trail Pain & Wellness Clinic
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- North Little Rock, AR
- NPI 1487576997
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1942260609
Locations
605 Dave Ward Dr
Ste 104
Conway, AR 72034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1073088068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 NORTHSHORE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721185312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 DAVE WARD DR STE 104",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347138",
"telephone_number": "501-663-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS SURGICAL HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-748-8089"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
- Arkansas Neurology, Inc.
- Arkansas Oral Surgery (Donny L. Quick)
- Arkansas Oral Surgery
- Arkansas Pediatrics of Conway, PA
- Arkansas Renal Systems, Inc. (Conway Dialysis Center)
- Arkansas Surgical Hospital, LLC (Arkansas Surgical Hospital Orthopedic Clinic)
- Arkansas Urology, P.a.
- Arkansas Vein Care Clinics PLLC
- Arlington Cove Healthcare, LLC
- Laura Armstrong, CASE MANAGER CARE CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.