NPIMap

Organization Active NPI

Saline Physician Services, LLC

Doing business as Saline Surgical Associates

  • Surgery Physician
  • Benton, AR
National Provider Identifier
1558678276
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SALINE PHYSICIAN SERVICES, LLC
Doing business as
Saline Surgical Associates
Practice address
5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729
Phone
(501) 778-4862
Fax
(501) 778-4685
NPI assigned
Sep 1, 2010
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SALINE COUNTY MEDICAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mrs. Kimberly A Titsworth
Title
Director, Physician Services
Phone
(501) 776-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729

Mailing address

5 Medical Park Dr
Suite GL2
Benton, AR 72015-3729
Phone (501) 778-4862

Other identifiers 1

IdentifierTypeStateIssuer
1558678276OtherARBCBS

Other names 1

  • Saline Surgical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1558678276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE GL2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-4862",
            "fax_number": "501-778-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE GL2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-778-4862",
            "fax_number": "501-778-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINE COUNTY MEDICAL SYSTEM",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "TITSWORTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-776-6093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1558678276",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saline Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.