Organization Active NPI

Outpatient Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mountain Home, AR
National Provider Identifier
1730132853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OUTPATIENT SURGERY CENTER, INC.
Practice address
160 Highway 201 N
Mountain Home, AR 72653-3158
Phone
(870) 424-2020
NPI assigned
May 18, 2006
Organization subpart
No

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
Mr. Douglas William Marx Sr., M.D.
Title
President
Phone
(870) 424-2020

Specialties & licenses 1

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

Addresses

Primary practice location

160 Highway 201 N
Mountain Home, AR 72653-3158

Mailing address

160 Highway 201 N
Mountain Home, AR 72653-3158
Phone (870) 424-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070113000161 AR Part B Supplier - Ambulatory Surgical Center 8325048473 Receives reassigned benefits from 6 practitioners
Practice locations: Mountain Home, AR

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Outpatient Surgery Center IncCCN 04C0001070
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
04D1055965Outpatient Surgery Center Inc160 Highway 201 North, Mountain Home, AR 72653Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730132853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HIGHWAY 201 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533158",
            "telephone_number": "870-424-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-424-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, 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.