Organization Active NPI

Doctors Surgery Center of Texarkana

  • Ambulatory Surgical Clinic/Center
  • Texarkana, AR
National Provider Identifier
1275574154
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AR3179 Issued in AR
Legal business name
DOCTORS SURGERY CENTER OF TEXARKANA
Practice address
3211 Sugar Hill Road
Suite 200
Texarkana, AR 71854-9219
Phone
(870) 772-4440
Fax
(870) 772-7190
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Harold L. Pearson, M.D.NPI 1346285517
Title
Owner/M.D.
Phone
(870) 772-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AR3179 AR Primary

Addresses

Primary practice location

3211 Sugar Hill Road
Suite 200
Texarkana, AR 71854-9219

Mailing address

3211 Sugar Hill Road
Suite 200
Texarkana, AR 71854-9219
Phone (870) 772-4440

Other identifiers 2

IdentifierTypeStateIssuer
141621128MedicaidAR
145326801MedicaidTX

Other names 1

  • Doctor's Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000014 AR Part B Supplier - Ambulatory Surgical Center 3779740733 Practice locations: Texarkana, AR

Ambulatory surgical center certification: CCN 04C0001030

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE DOCTORS SURGERY CTR OF TEXARKANA
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 14, 1996
Last certification
Jan 13, 2022
Ownership / control type
Proprietary
Facility address
3211 Sugar Hill Road
Texarkana, AR 71854

National Provider Directory

National Provider Directory

Locations

3211 Sugar Hill Rd
Ste 200
Texarkana, AR 71854
Phone (870) 772-4440

3211 Sugar Hill Rd
Texarkana, AR 71854
Phone (800) 662-1645

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1275574154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SUGAR HILL ROAD",
            "address_2": "SUITE 200",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718549219",
            "telephone_number": "870-772-4440",
            "fax_number": "870-772-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 SUGAR HILL ROAD",
            "address_2": "SUITE 200",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718549219",
            "telephone_number": "870-772-4440",
            "fax_number": "870-772-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS SURGERY CENTER OF TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "870-772-4440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR3179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141621128",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145326801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.