Organization Active NPI

Arkansas Gastroenterology Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hot Springs, AR
National Provider Identifier
1669424339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AR4289 Issued in AR
Legal business name
ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER
Practice address
151 McGowan CT
Hot Springs, AR 71913-6451
Phone
(501) 623-4101
Fax
(501) 318-0430
NPI assigned
May 17, 2006
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Arkansas Gastroenterology Endoscopy CenterCCN 04C0001033
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060531000097 AR Part B Supplier - Ambulatory Surgical Center 6204847411 Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Steven Mathews, M.D..NPI 1326034562
Title
Co-Owner
Phone
(501) 623-4101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AR4289 AR Primary

Addresses

Primary practice location

151 McGowan CT
Hot Springs, AR 71913-6451

Mailing address

151 McGowan CT
Hot Springs, AR 71913-6451
Phone (501) 623-4101

Other identifiers 1

IdentifierTypeStateIssuer
AR4289OtherARSTATE BOARD OF HEALTH LIC

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669424339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136451",
            "telephone_number": "501-623-4101",
            "fax_number": "501-318-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136451",
            "telephone_number": "501-623-4101",
            "fax_number": "501-318-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-623-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF HEALTH LIC",
            "identifier": "AR4289",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.