Active NPI
Toad Suck Surgical Services, LLC
- Ambulatory Surgical Clinic/Center
- Mountain Home, AR
National Provider Identifier
1477880433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TOAD SUCK SURGICAL SERVICES, LLC
- Practice address
- 1310 Eastside Centre CT # 6-142
Mountain Home, AR 72653-2705 - Phone
- (520) 323-8732
- Fax
- (520) 547-1865
- NPI assigned
- Nov 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lacey Dinh
- Title
- Revenue Cycle Manager of Abs
- Phone
- (520) 258-0326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | AR | Primary |
Addresses
Primary practice location
1310 Eastside Centre CT # 6-142
Mountain Home, AR 72653-2705
Mailing address
6339 E Speedway Blvd Ste 201
Tucson, AZ 85710-1147
Phone (520) 323-8732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450656000000",
"number": "1477880433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 E SPEEDWAY BLVD STE 201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101147",
"telephone_number": "520-323-8732",
"fax_number": "520-547-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 EASTSIDE CENTRE CT # 6-142",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532705",
"telephone_number": "520-323-8732",
"fax_number": "520-547-1865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOAD SUCK SURGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-12",
"last_updated": "2015-12-21",
"status": "A",
"authorized_official_last_name": "DINH",
"authorized_official_first_name": "LACEY",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER OF ABS",
"authorized_official_telephone_number": "520-258-0326"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.