Organization Active NPI

Sarahrose S. Webster, M.D., P.a.

  • Surgery Physician
  • Pine Bluff, AR
National Provider Identifier
1164950721
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E9384 Issued in AR
Legal business name
SARAHROSE S. WEBSTER, M.D., P.A.
Doing business as
Webster Surgical Clinic
Practice address
1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961
Phone
(870) 534-6400
Fax
(870) 534-3441
NPI assigned
May 26, 2017
Organization subpart
Yes
Parent organization
SARAHROSE S. WEBSTER, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Scarlet Bitzer
Title
Office Manager
Phone
(870) 534-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E9384 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961

Mailing address

1801 W 40TH Ave Ste 4C
Pine Bluff, AR 71603-6961
Phone (870) 534-6400

Other identifiers 1

IdentifierTypeStateIssuer
211512001MedicaidAR

Other names 1

  • Webster Surgical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Sarahrose S Webster MD PA

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164950721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE STE 4C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036961",
            "telephone_number": "870-534-6400",
            "fax_number": "870-534-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE STE 4C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036961",
            "telephone_number": "870-534-6400",
            "fax_number": "870-534-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAHROSE S. WEBSTER, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARAHROSE S. WEBSTER, M.D., P.A.",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BITZER",
        "authorized_official_first_name": "SCARLET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-534-6400"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E9384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211512001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Surgical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.