Ozark Laser and Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MC 2363 Issued in AR

Legal business name

OZARK LASER AND SURGERY CENTER

Practice address

2070 McKenzie Rd
Ste B
Springdale, AR 72762-0747

Phone

(479) 751-4743

Fax

(479) 751-1345

NPI assigned

Jun 15, 2005

Last updated

Aug 22, 2020By 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

Mr. John A Biliingsley III, M.D.

Title

Owner/Operator

Phone

(479) 751-4743

Specialties & licenses 1

Addresses

Locations

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.

• Renee M Ceola, CRNA

  • Certified Registered Nurse Anesthetist
  • Rogers, AR
  • NPI 1588624878
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093710220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 MCKENZIE RD",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620747",
            "telephone_number": "479-751-4743",
            "fax_number": "479-751-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 MCKENZIE RD",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620747",
            "telephone_number": "479-751-4743",
            "fax_number": "479-751-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK LASER AND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILIINGSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "479-751-4743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "MC 2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark C.a.R.E. LLC (ameriCARE Ozarks)
• Ozark Eyes, PLLC (Ozark Eyes)
• Ozark Guidance Center, Inc
• Ozark Guidance Center, Inc
• Ozark Guidance Center, Inc
• Ozark Senior Healthcare, PLLC
• Ozark Tailored Independence Solutions, LLC (Next Day Access - Joplin/Springfield)
• Alan Padilla Ramos, MD
• Lorena Aimee Padilla, CNP
• Viviana Pagan, MHPP

• Ambulatory Surgical Clinic/Center in Springdale, AR
• Providers in Springdale, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.