Massard Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MASSARD AMBULATORY SURGERY CENTER, LLC

Doing business as

Massard Ambulatory Surgery Center

Practice address

8306 Massard Creek CT
Fort Smith, AR 72903-6084

Phone

(844) 215-0731

Fax

(888) 630-8885

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Waddell, RN

Title

VP of Surgical Services

Phone

(501) 766-1065

Specialties & licenses 1

Addresses

Other names 1

• Massard Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 04C0001121

Legal name

Massard Ambulatory Surgery Center LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 8, 2024

Last certification

Oct 24, 2024

Ownership / control type

Proprietary

Most recent change of ownership

Dec 25, 2025

Facility address

8306 Massard Creek Court
Fort Smith, AR 72903

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

CLIA laboratory certificates

Practitioners 3

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

• Kyle B Basham, MD

  • Urology Physician
  • Fort Smith, AR
  • NPI 1043573355
  NPD
• John D. Terrell, MD

  • Urology Physician
  • Fort Smith, AR
  • NPI 1528262318
  NPD
• Meraj Siddiqui, MD

  • Interventional Pain Medicine Physician
  • Batesville, AR
  • NPI 1114973922
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1104683374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-766-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 MASSARD CREEK CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036084",
            "telephone_number": "844-215-0731",
            "fax_number": "888-630-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSARD AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VP OF SURGICAL SERVICES",
        "authorized_official_telephone_number": "501-766-1065",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massard Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laney Mason
• Regina Ann Mason, LPN
• Robert Mason, MHPP
• Robert A. Mason, D.M.D.
• Hassan M Masri, M.D.
• Kendra Austine Massena, M.S., CFY-SLP
• Virginia Massey
• Ashley Mast, LMSW
• Deborah G Mastin, LPN, MHPP
• Hanna Matarweh

• Ambulatory Surgical Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, 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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.