Organization Active NPI

Tri State Advanced Surgery Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Marion, AR
National Provider Identifier
1225398480
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TRI STATE ADVANCED SURGERY CENTER, LLC.
Practice address
2596 Interstate 55
Marion, AR 72364-2327
Phone
(870) 559-2006
Fax
(870) 559-2413
NPI assigned
May 22, 2012
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Mr. Robert Jeffrey Cole, M.D.
Title
Medical Director
Phone
(870) 559-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2596 Interstate 55
Marion, AR 72364-2327

Mailing address

2596 Interstate 55
Marion, AR 72364-2327
Phone (870) 559-2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1225398480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 INTERSTATE 55",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642327",
            "telephone_number": "870-559-2006",
            "fax_number": "870-559-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 INTERSTATE 55",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642327",
            "telephone_number": "870-559-2006",
            "fax_number": "870-559-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE ADVANCED SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "870-559-2006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.