NPIMap

Organization Active NPI

Nwa Outpatient Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bentonville, AR
National Provider Identifier
1619425444
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NWA OUTPATIENT SURGERY CENTER LLC
Doing business as
Bentonville Outpatient Surgery Center LLC
Practice address
2900 Medical Center Pkwy
Suite 100
Bentonville, AR 72712-3204
Phone
(479) 553-2008
Fax
(479) 553-2904
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Michael A Swaw
Title
Director
Phone
(615) 778-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2900 Medical Center Pkwy
Suite 100
Bentonville, AR 72712-3204

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000

Other names 1

  • Bentonville Outpatient Surgery Center LLC 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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1619425444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123204",
            "telephone_number": "479-553-2008",
            "fax_number": "479-553-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-778-8076"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentonville Outpatient Surgery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.