Organization Active NPI

Centerview Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
National Provider Identifier
1679001028
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTERVIEW SURGERY CENTER, LLC
Practice address
1310 Centerview Dr
Little Rock, AR 72211-4349
Phone
(501) 537-7871
Fax
(501) 410-1148
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Mr. Errol S Davis
Title
Ceo
Phone
(870) 219-8300

Specialties & licenses 1

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

Addresses

Primary practice location

1310 Centerview Dr
Little Rock, AR 72211-4349

Mailing address

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 537-7871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171014000415 AR Part B Supplier - Ambulatory Surgical Center 1052686235 Practice locations: Little Rock, AR

Hospital certification: CCN 040157

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTERVIEW SURGERY CENTER, LLC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 8, 2020
Last certification
Apr 8, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
1310 Centerview Drive
Little Rock, AR 72211

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Centerview Surgery CenterCCN 04C0001091
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2133802Centerview Surgery Center1310 Centerview Dr, Little Rock, AR 72211Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1679001028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-537-7871",
            "fax_number": "501-410-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-537-7871",
            "fax_number": "501-410-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVIEW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-219-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.