Organization Active NPI

Freedom Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1346372091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
AR4106 Issued in AR
Legal business name
FREEDOM SURGERY CENTER
Practice address
3733 N Business Dr
Fayetteville, AR 72703-5203
Phone
(479) 251-1016
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kay McCarley
Title
Accounts Manager
Phone
(479) 649-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X AR4106 AR Primary

Addresses

Primary practice location

3733 N Business Dr
Fayetteville, AR 72703-5203

Mailing address

9001 Jenny Lind Rd
Fort Smith, AR 72908-8629

Other identifiers 1

IdentifierTypeStateIssuer
P00074266OtherARRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346372091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 N BUSINESS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035203",
            "telephone_number": "479-251-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARLEY",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "479-649-7018"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "AR",
            "license": "AR4106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00074266",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.