Conway Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CONWAY AMBULATORY SURGERY CENTER, LLC

Practice address

2425 Dave Ward Dr
Conway, AR 72034-8686

Phone

(501) 392-9065

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Beth Waddell, RN

Title

Administator

Phone

(501) 766-1065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Conway Ambulatory Surgery Center LLCCCN 04C0001107

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

Practitioners 2

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

• Brian Ibrahim Malki, M.D.

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1346620697
  NPD (past)
• Noemi Espinola Salang Ramsay, MD

  • Pain Medicine (Anesthesiology) Physician
  • Little Rock, AR
  • NPI 1508822735
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1467089599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348686",
            "telephone_number": "501-392-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "501-766-1065",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Cone, L.P.C.
• Ashley Nicole Conger, APRN-CNP, NNP-BC
• Brentnie Conner
• Amberly Connors
• Continue Counseling LLC
• Conway Anesthesiology Consultants, P.a.
• Conway Apothecary Inc.
• Conway Apothecary Inc.
• Conway Behavioral Health, LLC
• Conway Behavioral Health, LLC

• Ambulatory Surgical Clinic/Center in Conway, AR
• Providers in Conway, 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 Apr 11, 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.