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SURGICAL CLINIC PA NPI 1386698959


NPI Information

NPI: 1386698959
Provider Name: SURGICAL CLINIC, PA

Doing Business As: SURGICAL CLINIC OF CENTRAL ARKANSAS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9500 KANIS RD
SUITE 501
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 227-9080
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SURGICAL CLINIC, PA is a specialist in Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SURGICAL CLINIC, PA NPI is 1386698959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surgical Clinic Of Central Arkansas.

The provider's business location address is:

9500 KANIS RD
SUITE 501
LITTLE ROCK, AR
ZIP 72205-324
Phone: (501) 227-9080
Fax: (501) 227-0410

The provider's authorized official is Chris M. Cate .
The authorized official title is Managing Partner and has the following contact phone number (501) 227-9080.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMC1412ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157032MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2104587002MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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