NORTHWEST AMBULATORY SURGERY CENTER - BENTONVILLE
NPI 1750333795
Clinic/Center - Ambulatory Surgical in Bentonville, AR
NPI Status: Active since May 17, 2006
Contact Information
2900 MEDICAL CENTER PKWY
SUITE 100
BENTONVILLE, AR
ZIP 72712
Phone: (479) 418-5300
Fax: (479) 418-5330
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 04D2284810
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-28-2025
About NORTHWEST AMBULATORY SURGERY CENTER - BENTONVILLE
This page provides the complete NPI Profile along with additional information for Northwest Ambulatory Surgery Center - Bentonville, a provider established in Bentonville, Arkansas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1750333795 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X with license number AR-4298 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Northwest Ambulatory Surgery Center - Bentonville. The authorized official of this NPI record is Laurie Holtsford (Director Business Office Support)
- NPI
- 1750333795
- Provider Legal Name
- SPRINGDALE BENTONVILLE SURGERY CENTER LP
- Other Organization Name
- NORTHWEST AMBULATORY SURGERY CENTER - BENTONVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2900 MEDICAL CENTER PKWY SUITE 100 BENTONVILLE, AR 72712
- Location Phone
- (479) 418-5300
- Location Fax
- (479) 418-5330
- Mailing Address
- PO BOX 841231 DALLAS, TX 75284
- Mailing Phone
- (479) 418-5300
- Mailing Fax
- (479) 418-5330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 11-01-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- AR-4298
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11064 | MEDICARE PIN (08) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2284810
- Facility Type
- Physician Office
- Certificate Effective Date
- June 29, 2023
- Certificate Expiration Date
- June 28, 2025
- Laboratory Director
- DR. CHRISTOPHER PITTMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Ambulatory Surgery Center - Bentonville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NORTHWEST AMBULATORY SURGERY CENTER - BENTONVILLE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 3 | 3 | 7 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 3 | 6 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 3 + 6 + 7 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1750333795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942295597 | MR. JAMES RAY BOND P.D. Individual | Pharmacist | 2900 MEDICAL CENTER PKWY SUITE 120 BENTONVILLE, AR 72712 (479) 464-8328 |
| 1437332434 | MARY A SHENKER CRNA PA Organization | Nurse Anesthetist, Certified Registered | 2900 MEDICAL CENTER PKWY SUITE 300 BENTONVILLE, AR 72712 (501) 227-0700 |
| 1023372208 | PLASTIC SURGERY CENTER OF NWA, P.A. Organization | Plastic Surgery | 2900 MEDICAL CENTER PKWY SUITE 220 BENTONVILLE, AR 72712 (479) 464-9191 |
| 1447353339 | DR. MOHAMMED A. AMARI M.D., FCCP Individual | Internal Medicine (Pulmonary Disease) | 2900 MEDICAL CENTER PKWY SUITE 240 BENTONVILLE, AR 72712 (479) 273-9173 |
| 1780845859 | AMBER JUNE SILLS M.D. Individual | Obstetrics & Gynecology | 2900 MEDICAL CENTER PKWY SUITE 370 BENTONVILLE, AR 72712 (479) 553-2525 |
| 1619425444 | NWA OUTPATIENT SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 2900 MEDICAL CENTER PKWY SUITE 100 BENTONVILLE, AR 72712 (479) 553-2008 |
| 1912210444 | SIDHARTH NAVIN JOGANI M.D. Individual | Internal Medicine (Pulmonary Disease) | 2900 MEDICAL CENTER PKWY STE 310 BENTONVILLE, AR 72712 (479) 553-1000 |
| 1942738844 | KATHERINE BARTON MD, PA Organization | Clinic/Center | 2900 MEDICAL CENTER PKWY BENTONVILLE, AR 72712 (479) 553-1620 |
| 1558560102 | DR. LISA ANN BEARDEN MD Individual | Obstetrics & Gynecology | 2900 MEDICAL CENTER PKWY SUITE 370 BENTONVILLE, AR 72712 (479) 876-8111 |
| 1659651552 | DR. CHAITANYA GOUD BONDA M.D., MBBS Individual | Psychiatry & Neurology (Neuromuscular Medicine) | 2900 MEDICAL CENTER PKWY STE 310 BENTONVILLE, AR 72712 (479) 553-3310 |
| 1174567812 | DR. JAMON R PRUITT M.D. Individual | Internal Medicine (Interventional Cardiology) | 2900 MEDICAL CENTER PKWY SUITE 240B BENTONVILLE, AR 72712 (479) 553-2200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750333795, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 2900 Medical Center Pkwy Suite 100 Bentonville, Ar 72712 and the phone number is (479) 418-5300
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D2284810 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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