INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK LLC NPI 1043625221

NPI Information

  • NPI: 1043625221
  • Provider Name: INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: INTERVENTIONAL SURGERY INSTITUTE
  • CLIA Number: 04D2094452
  • Address: 9 FREEWAY DRIVE
    SUITE A
    LITTLE ROCK, AR
    ZIP 72204
  • Phone: (844) 215-0731

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NPI Details

INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC is an ambulatory surgical clinic center in Little Rock, AR. INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC NPI is 1043625221. The provider is registered as an organization entity type.
The provider Is Doing Business As Interventional Surgery Institute.

The provider's business location address is:

9 FREEWAY DRIVE
SUITE A
LITTLE ROCK, AR
ZIP 72204
Phone: (844) 215-0731
Fax: (501) 404-9625

The provider's authorized official is William Mccrary .
The authorized official title is Ceo and has the following contact phone number (501) 346-8116.

The CLIA number assigned to this NPI record is 04D2094452 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, meloxicam, 1 mg (HCPCS:J1738)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance (HCPCS:64451)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Insertion of programmable spinal canal drug infusion pump (HCPCS:62362)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Insertion, revision, or repositioning of spinal canal tube for medication administration (HCPCS:62350)
  • Fusion of spine in lower back (HCPCS:22612)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Placement of device to stabilize or reduce pressure in lower spine in 1 disc space (HCPCS:22867)

The enumeration date for this NPI number is 6/25/2014 and was last updated on 1/7/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208454128MEDICAIDARKANSAS

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: 3/30/2025

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