Organization Active NPI

Gastroenterology & Surgery Center of Arkansas, II, LLC.

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
National Provider Identifier
1235376104
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GASTROENTEROLOGY & SURGERY CENTER OF ARKANSAS, II, LLC.
Practice address
401 Commerce St
Suite 600
Nashville, TN 37219-2446
Phone
(615) 345-6900
Fax
(615) 691-7214
NPI assigned
Jan 14, 2009
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
David W. Holst
Title
President
Phone
(615) 345-6900

Specialties & licenses 1

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

Addresses

Primary practice location

401 Commerce St
Suite 600
Nashville, TN 37219-2446

Mailing address

PO Box 55660
Little Rock, AR 72215-5660

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kanis Endoscopy CenterCCN 04C0001014
Medicare certification status
Terminated Voluntary: merger or closure, Apr 5, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1235376104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55660",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & SURGERY CENTER OF ARKANSAS, II, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-345-6900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.