Precision Surgical Center of Northwest Arkansas, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRECISION SURGICAL CENTER OF NORTHWEST ARKANSAS, LLC

Practice address

3728 S Pinnacle Hills Pkwy Ste 100
Rogers, AR 72758-7031

Phone

(479) 254-8508

Fax

(479) 282-1479

NPI assigned

Sep 22, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Davis

Title

Administrator

Phone

(479) 254-8508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Precision Surgical Center of Northwest Arkansas LLCCCN 04C0001095

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Jeremy Allen Bush, M.D.

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1235358565
  NPD (past)
• Patrick R Chase, MD

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1558448357
  NPD (past)
• Christopher Noel Henley, M.D.

  • Orthopaedic Hand Surgery Physician
  • Fayetteville, AR
  • NPI 1023031168
  NPD (past)
• Lisa Ishida Jech, MD

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1568681898
  NPD (past)
• Vernon O Tucker, CRNA

  • Certified Registered Nurse Anesthetist
  • Rogers, AR
  • NPI 1417937657
  NPD (past)
• Adam Douglas White, M.D.

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1710120456
  NPD (past)

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1194209437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 S PINNACLE HILLS PKWY STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S PINNACLE HILLS PKWY STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587031",
            "telephone_number": "479-254-8508",
            "fax_number": "479-282-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL CENTER OF NORTHWEST ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-254-8508"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Everett Pounds, PHARMD
• Jarrett Adam Powell, APRN
• Kimlyn Powers
• Kristen Powers, PHARM. D.
• Precident, PLLC
• Preferred Billing Partners LLC
• Premier Home Care 1 LLC
• Premier Hospitalists of Nwa, PLLC
• Premise Health of Arkansas Medical P a
• Premise Health of Arkansas Medical P a

• Ambulatory Surgical Clinic/Center in Rogers, AR
• Providers in Rogers, 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 Oct 30, 2024; 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.

Verify at the official NPI Registry.