Organization Active NPI

North Arkansas Surgery Clinic

  • Specialist
  • Harrison, AR
National Provider Identifier
1982931192
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N-8118 Issued in AR
Legal business name
NORTH ARKANSAS SURGERY CLINIC
Practice address
715 W Sherman Ave
Suite B
Harrison, AR 72601-2743
Phone
(870) 741-8343
Fax
(870) 741-8356
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Shannon I Corrigan
Title
Office Manager
Phone
(870) 741-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X N-8118 AR Primary

Addresses

Primary practice location

715 W Sherman Ave
Suite B
Harrison, AR 72601-2743

Mailing address

715 W Sherman Ave
Suite B
Harrison, AR 72601-2743
Phone (870) 741-8343

Other identifiers 1

IdentifierTypeStateIssuer
120084001MedicaidAR

National Provider Directory

National Provider Directory

Locations

715 W Sherman Ave
Ste B
Harrison, AR 72601
Phone (870) 741-8343

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1982931192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-8343",
            "fax_number": "870-741-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "address_2": "SUITE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-8343",
            "fax_number": "870-741-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ARKANSAS SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-741-8343"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N-8118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120084001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.