North River Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR3567 Issued in AR

Legal business name

NORTH RIVER SURGERY CENTER, LLC

Practice address

2209 Wildwood Ave
Sherwood, AR 72120-5074

Phone

(501) 834-5777

Fax

(501) 834-0126

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Barbara E Snow, CASC

Title

Administrator

Phone

(501) 834-5777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

North River Surgery CenterCCN 04C0001035

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Vincent Infirmary Medical Center

  • Medical Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1023381738

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1265404669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 WILDWOOD AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205074",
            "telephone_number": "501-834-5777",
            "fax_number": "501-834-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 WILDWOOD AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205074",
            "telephone_number": "501-834-5777",
            "fax_number": "501-834-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-834-5777",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR3567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11035",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133949728",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Hills Services, Inc
• North Hills Services, Inc
• North Hills Services, Inc
• North Pulaski Diagnostic Clinic
• North Pulaski Womens Clinic
• North River Surgery Center, LLC
• Vanessa Aubree Northweather
• Katelyn M Norwood
• NW Sherwood LLC
• Oasis Facility Solutions LLC

• Ambulatory Surgical Clinic/Center in Sherwood, AR
• Providers in Sherwood, 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 Jan 24, 2014; 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.