INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC (NPI# 1043625221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043625221 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC |
| Other Organization Name | INTERVENTIONAL SURGERY INSTITUTE |
| Practice Address |
9 Freeway Drive Suite A Little Rock AR 72204 |
| Mailing Address |
108 N. Shackleford Road Suite 200 Little Rock AR 72211 |
| Practice Telephone | 8442150731 |
| Practice Fax Number | 5014049625 |
| Mailing Telephone | 5013468116 |
| Mailing Fax Number | 5017714885 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | WILLIAM MCCRARY (CEO) |
| Authorized Official Telephone | 5013468116 |
| Is Organization Subpart | Y |
| Parent Organization Name | APTA HOLDINGS II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 208454128 | 05 |
| Other Name | Type Code |
|---|---|
| Interventional Surgery Institute | Doing Business As Name - Organization |
| Street Address |
9 FREEWAY DRIVE SUITE A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| 1831446483 | Mattie Michelle Norman | Case Manager/Care Coordinator | 2124 Labette, Apt. N23, Little Rock, AR 72204 | 2012-08-13 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675285 | Orthoarkansas Spine Institute Procedure Center LLC | Clinic/Center | 800 Fair Park Blvd Ste 300, Little Rock, AR 72204-1720 | 2020-10-07 |
| 1679001028 | Centerview Surgery Center, LLC | Clinic/Center | 1310 Centerview Dr, Little Rock, AR 72211-4349 | 2017-05-30 |
| 1386177376 | Executive Surgery Center of Little Rock, LLC | Clinic/Center | 11220 Executive Center Dr, Suite 100, Little Rock, AR 72211-4320 | 2017-04-06 |
| 1588876817 | Freeway Surgery Center LLC | Clinic/Center | 5800 West Tenth Street, Suite 206, Little Rock, AR 72204 | 2007-05-07 |
| 1487776365 | Seymour Operations LLC | Clinic/Center | 200 N Van Buren St, Little Rock, AR 72205-3650 | 2007-04-04 |
| 1588603351 | Physician's Day Surgery Center | Clinic/Center | 17200 Chenal Pkwy Ste 440, Little Rock, AR 72223-5970 | 2006-06-06 |
| 1063470730 | Endoscopy Center of Arkansas, LLC | Clinic/Center | 1024 N University Ave, Little Rock, AR 72207-6347 | 2006-05-03 |
| 1659340404 | Little Rock Surgery Center, LLC | Clinic/Center | 8820 Knoedl Ct, Little Rock, AR 72205-4600 | 2006-03-15 |
| 1215919329 | Gastro-intestinal Center Inc | Clinic/Center | 405 N University Ave, Little Rock, AR 72205-3108 | 2005-11-15 |
| 1861488587 | Little Rock Outpatient Surgery Center, LLC | Clinic/Center | 8907 Kanis Rd, Ste. 100, Little Rock, AR 72205-6449 | 2005-09-27 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.