NPIMap

Organization Active NPI

Arkansas Surgical Hospital, LLC

Doing business as Arkansas Surgical Hospital Anesthesia Services

  • Anesthesiology Physician
  • North Little Rock, AR
National Provider Identifier
1265192835
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ARKANSAS SURGICAL HOSPITAL, LLC
Doing business as
Arkansas Surgical Hospital Anesthesia Services
Practice address
5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone
(501) 748-8089
Fax
(501) 748-8173
NPI assigned
Dec 23, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Christopher Brian Fowler
Title
Ceo
Phone
(501) 748-8089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

5201 Northshore Dr
North Little Rock, AR 72118-5312

Mailing address

5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone (501) 748-8089

Other names 1

  • Arkansas Surgical Hospital Anesthesia Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181017000632 AR Part B Supplier - Clinic/Group Practice 5496793390 Receives reassigned benefits from 77 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conway, AR; North Little Rock, AR
O20220628002353 AR Part B Supplier - Hospital Department(S) 5496793390 Receives reassigned benefits from 84 practitioners
Practice locations: North Little Rock, AR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1265192835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185312",
            "telephone_number": "501-748-8089",
            "fax_number": "501-748-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185312",
            "telephone_number": "501-748-8089",
            "fax_number": "501-748-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-748-8089"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Surgical Hospital Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.