EXECUTIVE PARK SURGERY CENTER OF FORT SMITH INC NPI 1598068306

NPI Information

  • NPI: 1598068306
  • Provider Name: EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3314 S 70TH ST
    FORT SMITH, AR
    ZIP 72903
  • Phone: (479) 424-2744

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NPI Details

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC is an ambulatory surgical clinic center in Fort Smith, AR. EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC NPI is 1598068306. The provider is registered as an organization entity type.

The provider's business location address is:

3314 S 70TH ST
FORT SMITH, AR
ZIP 72903-052
Phone: (479) 424-2744
Fax: (479) 424-2745

The provider's authorized official is Christopher J Rodriguez .
The authorized official title is President and has the following contact phone number (479) 424-2744.

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)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 12/16/2010 and was last updated on 1/4/2024.

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 SurgicalAPPLIED FORARKANSASYes

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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