OUTPATIENT SURGERY CENTER OF JONESBORO LLC NPI 1598758153

NPI Information

  • NPI: 1598758153
  • Provider Name: OUTPATIENT SURGERY CENTER OF JONESBORO LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 04D1010436
  • Address: 1100 E MATTHEWS AVE
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 935-8500

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NPI Details

OUTPATIENT SURGERY CENTER OF JONESBORO LLC is an ambulatory surgical clinic center in Jonesboro, AR. OUTPATIENT SURGERY CENTER OF JONESBORO LLC NPI is 1598758153. The provider is registered as an organization entity type.

The provider's business location address is:

1100 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401-314
Phone: (870) 935-8500
Fax: (870) 932-6435

The provider's authorized official is Kerri Lynn Parnell .
The authorized official title is Financial Manager and has the following contact phone number (870) 935-8500.

The CLIA number assigned to this NPI record is 04D1010436 - 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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)

The enumeration date for this NPI number is 8/29/2005 and was last updated on 5/5/2010.

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 SurgicalAR4142ARKANSASYes

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
1149813128MEDICAIDARKANSAS
211053MEDICARE 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: 3/30/2025

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