Organization Active NPI

Batesville Surgical Arts LLC

  • Surgery Physician
  • Batesville, AR
National Provider Identifier
1831080381
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BATESVILLE SURGICAL ARTS LLC
Practice address
2040 Fitzhugh St
Batesville, AR 72501-7409
Phone
(870) 307-3790
Fax
(870) 376-3551
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Philip Pack, DONPI 1548558612
Title
Owner
Phone
(786) 519-9572

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2040 Fitzhugh St
Batesville, AR 72501-7409

Mailing address

2517 Harrison St # 308
Batesville, AR 72501-7424
Phone (870) 307-3790

Other practice location 1

415 Allen St
Batesville, AR 72501-6958
Phone (870) 307-3790

National Provider Directory

National Provider Directory

Locations

2517 Harrison St
Batesville, AR 72501

415 Allen St
Batesville, AR 72501
Phone (870) 307-3790

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": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1831080381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HARRISON ST # 308",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017424",
            "telephone_number": "870-307-3790",
            "fax_number": "870-376-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FITZHUGH ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017409",
            "telephone_number": "870-307-3790",
            "fax_number": "870-376-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Allen St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725016958",
            "country_code": "US",
            "telephone_number": "870-307-3790",
            "fax_number": "870-376-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BATESVILLE SURGICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-519-9572",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.