TRI STATE ADVANCED SURGERY CENTER, LLC. (NPI# 1225398480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225398480 |
| Entity Type | Organization |
| Organization Name | TRI STATE ADVANCED SURGERY CENTER, LLC. |
| Practice Address |
2596 Interstate 55 Marion AR 72364-2327 |
| Practice Telephone | 8705592006 |
| Practice Fax Number | 8705592413 |
| Mailing Telephone | 8705592006 |
| Mailing Fax Number | 8705592413 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | MR. ROBERT JEFFREY COLE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8705592006 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2596 INTERSTATE 55 |
| City | MARION |
| State | AR |
| Zip Code | 72364-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357420 | Felice Wener | Anesthesiology | 2596 Interstate 55, Tristate Advanced Surgery Center, Marion, AR 72364 | 2006-04-24 |
| 1649625674 | Anesthesia Management Solutions of Arkansas Pllc | Nurse Anesthetist, Certified Registered | 2596 Interstate 55, Marion, AR 72364-2327 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962468967 | Marion Surgery Center Ltd | Clinic/Center | 806 North Treas, Marion, IL 62959 | 2006-04-26 |
| 1821066515 | Marion Healthcare LLC | Clinic/Center | 3003 Civic Circle Blvd, Marion, IL 62959-5259 | 2006-03-09 |
| 1184690570 | Pain Care Surgery, PC | Clinic/Center | 108 Airway Dr, Marion, IL 62959-5841 | 2006-02-24 |
| 1487620043 | New Horizons Surgery Center LLC | Clinic/Center | 1167 Independence Ave, Marion, OH 43302-6360 | 2006-02-24 |
| 1962489393 | Surgicenter Group, LLC | Clinic/Center | 711 W Gardner Dr, Marion, IN 46952-1821 | 2005-12-28 |
| 1518290998 | Eye Specialists Surgery Centers, LLC | Clinic/Center | 711 W Gardner Dr, Marion, IN 46952-1821 | 2009-09-16 |
| 1770616963 | Marion Women's Health Center Inc | Clinic/Center | 960 S Prospect St, Marion, OH 43302-6225 | 2007-03-14 |
| 1548352735 | Marion Anesthesia, Inc. | Clinic/Center | 1199 Delaware Ave, Suite 108, Marion, OH 43302 | 2006-09-28 |
| 1124026638 | Marion Health Systems LLC | Clinic/Center | 1050 Delaware Ave, Marion, OH 43302-6416 | 2005-07-08 |
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|---|---|---|---|---|
| 1629675285 | Orthoarkansas Spine Institute Procedure Center LLC | Clinic/Center | 800 Fair Park Blvd Ste 300, Little Rock, AR 72204-1720 | 2020-10-07 |
| 1477178879 | Surgcenter of Fayetteville, LLC | Clinic/Center | 1905 E Mission Blvd Ste 5, Fayetteville, AR 72703-3129 | 2020-06-11 |
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1487122669 | Conway Cardiovascular Surgery Center, LLC | Clinic/Center | 650 United Dr Ste 120, Conway, AR 72032-7826 | 2018-11-06 |
| 1194209437 | Precision Surgical Center of Northwest Arkansas, LLC | Clinic/Center | 3728 S Pinnacle Hills Pkwy, Rogers, AR 72758-8897 | 2018-09-22 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 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 |
| 1639615297 | Surgery Center At The Reserve, P.a., Inc. | Clinic/Center | 2241 Hillpark Cove, Suite B, Jonesboro, AR 72401 | 2017-01-06 |
| Find all providers with the same taxonomy | ||||
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| 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.