Physicians Surgical Center of the Ozarks

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR4346 Issued in AR

Legal business name

PHYSICIANS SURGICAL CENTER OF THE OZARKS

Practice address

17 Medical PLZ
Mountain Home, AR 72653-2918

Phone

(870) 425-6212

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Pete Ross

Title

Coo VP of Operations

Phone

(870) 425-6212

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1609987361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-425-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-425-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGICAL CENTER OF THE OZARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "COO VP OF OPERATIONS",
        "authorized_official_telephone_number": "870-425-6212"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1609987361",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168468128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Pfeifer, MHPP
• Physical Therapy Connection, Inc.
• Physical Therapy Specialists of the Ozarks, LLC
• Physician Management Services of Arkansas II LLC
• Physician Management Services of Arkansas, LLC
• Charlie Pierce
• Truitt James Pierce
• Pine Lane Therapy and Living Center, Inc.
• Caleb Joseph Pingel, M.D.
• Brandi Lyn Pinn, MSW, LCSW

• Ambulatory Surgical Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, 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 Nov 19, 2008; 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.