Central Arkansas Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL ARKANSAS SURGICAL CENTER, LLC

Practice address

151 East Aspen LN
Russellville, AR 72802

Phone

(479) 967-1117

Fax

(479) 967-0089

NPI assigned

Dec 8, 2009

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan C. Roman, MDNPI 1528055258

Title

Board Chair

Phone

(501) 664-4532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Central Arkansas Surgical Center LLCCCN 04C0001082

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arkansas Surgery & Endoscopy Center

  dba Asec

  • Ambulatory Surgical Clinic/Center
  • Pine Bluff, AR
  • NPI 1922068295

  Member Of

  NPD member

Practitioners 3

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.

• Juan C Roman, M.D.

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1528055258
  NPD Authorized official
• Russell B Allison, MD

  • Orthopaedic Surgery Physician
  • Coffeyville, KS
  • NPI 1881663078
  NPD
• Syed Abdus Samad, MD

  • Gastroenterology Physician
  • Pine Bluff, AR
  • NPI 1174585814
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1992034763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E ASPEN LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728028903",
            "telephone_number": "479-967-1117",
            "fax_number": "479-967-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EAST ASPEN LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72802",
            "telephone_number": "479-967-1117",
            "fax_number": "479-967-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "501-664-4532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikki Castro, COTA
• Sara Cates
• Elizabeth Anne Causey, M.S., SLP
• Amber Ceballos, RN
• Central Arkansas Anesthesia Associates
• Arely Cervantes
• Joshua Chaffin
• Surbhi Chamaria, MD
• Chase Christopher Chance
• Alexander Chandler

• Ambulatory Surgical Clinic/Center in Russellville, AR
• Providers in Russellville, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

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

Verify at the official NPI Registry.