Little Rock Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2638 Issued in AR

Legal business name

LITTLE ROCK SURGERY CENTER, LLC

Practice address

8820 Knoedl CT
Little Rock, AR 72205-4600

Phone

(501) 224-6767

Fax

(501) 224-8203

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Kim E. Hamma, ADMINISTRATOR

Title

Administrator

Phone

(501) 224-6767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Little Rock Surgery Center LLCCCN 04C0001006

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

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1659340404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 KNOEDL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054600",
            "telephone_number": "501-224-6767",
            "fax_number": "501-224-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 KNOEDL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054600",
            "telephone_number": "501-224-6767",
            "fax_number": "501-224-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "HAMMA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-224-6767",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Rock Renal Services LLC
• Little Rock Respiratory
• Little Rock Rheumatology Clinic PA
• Little Rock School Districet
• Little Rock School District
• Little Rock Surgical Clinic
• Little Rock Urban Collegiate Public Charter School
• Little Rock Vamc
• Little Rock Vamc
• Little Rock Vamc

• Ambulatory Surgical Clinic/Center in Little Rock, AR
• Providers in Little Rock, 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 Jun 11, 2013; 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.