Active NPI
Outpatient Surgery Center, Inc.
- Ambulatory Surgical Clinic/Center
- Mountain Home, AR
National Provider Identifier
1730132853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Outpatient Surgery Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1055965 | Outpatient Surgery Center Inc | Certificate of waiver | Jun 29, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Mountain Home, AR
- NPI 1356823819
Member Of
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
- NPI 1871971614
-
- Certified Registered Nurse Anesthetist
- Harrison, AR
- NPI 1962693218
-
- Certified Registered Nurse Anesthetist
- Jonesboro, AR
- NPI 1043410632
-
- Certified Registered Nurse Anesthetist
- Mountain Home, AR
- NPI 1306224639
-
- Urology Physician
- Mountain Home, AR
- NPI 1912142787
-
- Certified Registered Nurse Anesthetist
- Mountain Home, AR
- NPI 1144221094
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.