Battle Street Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BATTLE STREET SURGERY CENTER, LLC

Practice address

10700 N Rodney Parham Rd Ste C1-B
Little Rock, AR 72212-4191

Phone

(501) 830-2020

Fax

(501) 904-3838

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Hallie Muilenburg

Title

Revenue Cycle Manager

Phone

(501) 503-4100

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center at the Valley Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Battle St Surgery Center LLCCCN 04C0001114

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Russell T Beavers, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1700881778
  Medicare reassignment NPD
• Don R. Fletcher Jr.

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1356378954
  Medicare reassignment NPD
• Casey G Polk

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1477968030
  Medicare reassignment NPD
• Jon C Valentine, CRNA

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
  • NPI 1306841358
  Medicare reassignment NPD
• Jamie Michelle Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
  • NPI 1518194828
  Medicare reassignment NPD
• Donald Gauldin Jr., MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1871912204
  NPD
• Evan N Newbolt, MD

  • Ophthalmology Physician
  • Pine Bluff, AR
  • NPI 1245468925
  NPD
• Lauren Van Ness

  • Certified Registered Nurse Anesthetist
  • El Dorado, AR
  • NPI 1346662061
  NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1457077174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 114",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114311",
            "telephone_number": "501-503-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD STE C1-B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124191",
            "telephone_number": "501-830-2020",
            "fax_number": "501-904-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE STREET SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "501-503-4100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at the Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Patton Batson, DDS
• Katherine Elizabeth Batson, APRN
• Kati Batson, MS, RD, LD
• Vincent Battafarano
• Sahithi Battini
• Marlene Battle, PHARM D.
• Monique Battles
• David H Bauer, MD
• Frank Michael Bauer, M.D.
• Jonathan Bauer, MD

• Ambulatory Surgical Clinic/Center in Little Rock, AR
• Providers in Little Rock, 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 Oct 14, 2022; 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.