NPIMap

Organization Active NPI

Little Rock Outpatient Surgery Center, LLC

Doing business as Rivercrest Anesthesia Services

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
National Provider Identifier
1861488587
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC
Doing business as
Rivercrest Anesthesia Services
Practice address
8907 Kanis Rd
Ste. 100
Little Rock, AR 72205-6449
Phone
(501) 217-9007
Fax
(501) 221-0337
NPI assigned
Sep 27, 2005
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Jerry Kincaid
Title
Administrator
Phone
(501) 217-9007

Specialties & licenses 1

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

Addresses

Primary practice location

8907 Kanis Rd
Ste. 100
Little Rock, AR 72205-6449

Mailing address

8907 Kanis Rd
Ste. 100
Little Rock, AR 72205-6449
Phone (501) 217-9007

Other identifiers 1

IdentifierTypeStateIssuer
5F321OtherARBCBS

Other names 1

  • Rivercrest Anesthesia Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1861488587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD",
            "address_2": "STE. 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056449",
            "telephone_number": "501-217-9007",
            "fax_number": "501-221-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD",
            "address_2": "STE. 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056449",
            "telephone_number": "501-217-9007",
            "fax_number": "501-221-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-217-9007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5F321",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivercrest Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.