OUACHITA SURGICAL SERVICES INC NPI 1760429666

NPI Information

  • NPI: 1760429666
  • Provider Name: OUACHITA SURGICAL SERVICES INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 400 CRESTWOOD CIR
    SUITE P
    MENA, AR
    ZIP 71953
  • Phone: (479) 394-1414

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NPI Details

OUACHITA SURGICAL SERVICES INC is a specialist in Mena, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OUACHITA SURGICAL SERVICES INC NPI is 1760429666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 CRESTWOOD CIR
SUITE P
MENA, AR
ZIP 71953-512
Phone: (479) 394-1414
Fax: (479) 394-2612

The provider's authorized official is Thomas John Tinnesz .
The authorized official title is General Surgeon and has the following contact phone number (479) 394-1414.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 6/10/2008.

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
1174400000XSpecialistR3688ARKANSASYes

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
150830MEDICARE PINARKANSAS
2=========OTHERARKANSASAETNA
350830OTHERARKANSASBLUE CROSS BLUE SHIELD
4100728320AMEDICAIDOKLAHOMA
5=========OTHERARKANSASDELTA HEALTH SYSTEM
6=========OTHERARKANSASCIGNA
7=========OTHERARKANSASGEHA
8=========OTHERARKANSASNOVASYS
9B90053MEDICARE UPINARKANSAS
10132816002MEDICAIDARKANSAS
11020035810OTHERARKANSASRAILROAD MEDICARE

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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