NPIMap

Organization Active NPI

Ouachita Surgical Services Inc

  • Specialist
  • Mena, AR
National Provider Identifier
1760429666
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R3688 Issued in AR
Legal business name
OUACHITA SURGICAL SERVICES INC
Practice address
400 Crestwood Cir
Suite P
Mena, AR 71953-5512
Phone
(479) 394-1414
Fax
(479) 394-2612
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Thomas John Tinnesz, M.D.NPI 1649223033
Title
General Surgeon
Phone
(479) 394-1414

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R3688 AR Primary

Addresses

Primary practice location

400 Crestwood Cir
Suite P
Mena, AR 71953-5512

Mailing address

400 Crestwood Cir
Suite P
Mena, AR 71953-5512
Phone (479) 394-1414

Other identifiers 4

IdentifierTypeStateIssuer
020035810OtherARRAILROAD MEDICARE
132816002MedicaidAR
100728320AMedicaidOK
50830OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 Crestwood Cir
Ste P
Mena, AR 71953
Phone (479) 394-1414

Practitioners & affiliated clinicians

Practitioners 1

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1760429666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR",
            "address_2": "SUITE P",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-394-1414",
            "fax_number": "479-394-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR",
            "address_2": "SUITE P",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-394-1414",
            "fax_number": "479-394-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA SURGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "TINNESZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "479-394-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "R3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020035810",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132816002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728320A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50830",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.