Conway Outpatient Surgery Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

11034

Legal business name

CONWAY OUTPATIENT SURGERY CENTER

Practice address

1377 Hwy 64 West
Conway, AR 72032

Phone

(501) 336-9629

Fax

(501) 336-0018

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kari H Landberg

Title

Owner

Phone

(501) 336-9629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Conway Outpatient Surgery CenterCCN 04C0001034

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.160002

Practitioners 1

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.

• Karl H Landberg, MD

  • Gastroenterology Physician
  • Conway, AR
  • NPI 1265493241
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447212204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1755",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72033",
            "telephone_number": "501-336-9629",
            "fax_number": "501-336-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 HWY 64 WEST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-336-9629",
            "fax_number": "501-336-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDBERG",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-336-9629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": "11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conway Medcare Pharmacy, LLC
• Conway Medical and Wellness Clinic, LLC
• Conway Neurology PA
• Conway OB-GYN Clinic PA
• Conway Optometry Associates PLLC
• Conway Pain Clinic, PLLC
• Conway Physical Therapy Clinic, PA (Conway Therapy Services)
• Conway Psychiatric Clinic, PLLC
• Conway Psychological Assessment Center
• Conway Public Schools

• Clinic/Center in Conway, AR
• Providers in Conway, AR by specialty
• Clinic/Center in Arkansas

• 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.
• 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.