PHYSICIANS SURGERY CENTER LLC NPI 1114906393

NPI Information

  • NPI: 1114906393
  • Provider Name: PHYSICIANS SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3327 S DIVISION ST
    BLYTHEVILLE, AR
    ZIP 72315
  • Phone: (870) 762-1942

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NPI Details

PHYSICIANS SURGERY CENTER LLC is an ambulatory surgical clinic center in Blytheville, AR. PHYSICIANS SURGERY CENTER LLC NPI is 1114906393. The provider is registered as an organization entity type.

The provider's business location address is:

3327 S DIVISION ST
BLYTHEVILLE, AR
ZIP 72315-123
Phone: (870) 762-1942
Fax: (870) 763-0787

The provider's authorized official is Constance H Smith .
The authorized official title is Ceo and has the following contact phone number (870) 762-1942.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Incision to improve eye fluid flow (HCPCS:65820)

The enumeration date for this NPI number is 1/16/2006 and was last updated on 1/5/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalAR4222ARKANSASYes

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
111058MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2154372128MEDICAIDARKANSAS

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: 11/21/2025

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