The El Dorado Ar Multispecialty ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE EL DORADO AR MULTISPECIALTY ASC LLC

Doing business as

South Arkansas Surgery Center

Practice address

2704 Vine Street
El Dorado, AR 71730

Phone

(870) 864-6696

NPI assigned

Dec 8, 2006

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Arkansas Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

South Arkansas Surgery CenterCCN 04C0001075

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• D'Orsay D Bryant III, M.D.

  • Orthopaedic Surgery Physician
  • El Dorado, AR
  • NPI 1609813401
  NPD (past)
• Kenneth G Gati, M.D.

  • Specialist
  • El Dorado, AR
  • NPI 1831186709
  NPD (past)
• Gregg L Massanelli, M.D.

  • Specialist
  • El Dorado, AR
  • NPI 1538156492
  NPD (past)
• James B Morgan, MD

  • Surgery Physician
  • El Dorado, AR
  • NPI 1093725269
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1619037066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 VINE STREET",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-862-1636",
            "fax_number": "870-862-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 VINE STREET",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-864-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EL DORADO AR MULTISPECIALTY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168467128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Arkansas Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Arkansas Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia C Taylor, LCSW
• Janet Taylor
• Tara Taylor, BS
• Joe L Templeton Jr., O.D.
• The Cove Counseling & Wellness, LLC
• The Guinn Clinic, PLLC
• The Illumination Foundation (Pathways to Recovery)
• The Imagination Station LLC
• Thomas L Kennedy Jr MD PLLC
• Benita Thomason, PHARMD

• Ambulatory Surgical Clinic/Center in El Dorado, AR
• Providers in El Dorado, 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 Jan 6, 2021; 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.