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OZARK SURGICAL ASSOCIATES NPI 1013905587


NPI Information

NPI: 1013905587
Provider Name: OZARK SURGICAL ASSOCIATES
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3017 N BOB YOUNKIN DR
SUITE 101
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-1484
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OZARK SURGICAL ASSOCIATES is a surgery in Fayetteville, AR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. OZARK SURGICAL ASSOCIATES NPI is 1013905587. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3017 N BOB YOUNKIN DR
SUITE 101
FAYETTEVILLE, AR
ZIP 72703-926
Phone: (479) 521-1484
Fax: (479) 521-1550

The provider's authorized official is Clara J. Peters .
The authorized official title is Practice Administrator and has the following contact phone number (479) 521-1484.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 11/10/2009.


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
1208600000XSurgeryE0751ARKANSASNo
2208600000XSurgeryE3076ARKANSASNo
3208D00000XGeneral PracticeN8290ARKANSASNo
4208600000XSurgeryC7126ARKANSASYes

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
1G06299MEDICARE UPINARKANSAS
2146704002MEDICAIDARKANSAS
3G88307MEDICARE UPINARKANSAS
4C68038MEDICARE UPINARKANSAS
5H58537MEDICARE UPINARKANSAS
65C586MEDICARE PINARKANSAS

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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