SUREPOINT EMERGENCY CENTER ARLINGTON
NPI 1750909974
Emergency Medicine in Arlington, TX

NPI Status: Active since July 14, 2020

Contact Information

4747 LITTLE RD
ARLINGTON, TX
ZIP 76017
Phone: (817) 765-2010
Fax: (817) 765-2106

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  • Organization
  • Emergency Medicine
  • CLIA Number: 45D2100272
  • CLIA Cert. Type: Other - FREESTANDING ER
  • CLIA Exp. Date: 01-08-2026

About SUREPOINT EMERGENCY CENTER ARLINGTON

This page provides the complete NPI Profile along with additional information for Surepoint Emergency Center Arlington, a provider established in Arlington, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1750909974 assigned on July 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Surepoint Emergency Center Arlington. The authorized official of this NPI record is Michelle Newsom (President)

NPI
1750909974
Provider Legal Name
EMER ARLINGTON, LLC
Other Organization Name
SUREPOINT EMERGENCY CENTER ARLINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4747 LITTLE RD ARLINGTON, TX 76017
Location Phone
(817) 765-2010
Location Fax
(817) 765-2106
Mailing Address
2300 MATLOCK RD STE 35 MANSFIELD, TX 76063
Mailing Phone
(469) 830-8200
Mailing Fax
(817) 765-2106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2020
Last Update Date
05-15-2023
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE NEWSOM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(469) 830-8200

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
45D2100272
Facility Type
Other - FREESTANDING ER
Certificate Effective Date
January 09, 2024
Certificate Expiration Date
January 08, 2026
Laboratory Director
DR. CARL R. MENCKHOFF
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Surepoint Emergency Center Arlington on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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.
1750909974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710018018914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 0 + 1 + 8 + 9 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1750909974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073980231LITTLE ROAD MEDICAL CENTER
Organization
Clinic/Center (Emergency Care)4747 LITTLE RD
ARLINGTON, TX 76017
(972) 899-6625
1508484825EMER ARLINGTON PHYSICIANS, PLLC
Organization
Emergency Medicine4747 LITTLE RD
ARLINGTON, TX 76017
(817) 765-2010
1720849060 TRAVIS SPIVEY RN
Individual
Registered Nurse (Critical Care Medicine)4747 LITTLE RD
ARLINGTON, TX 76017
(817) 765-2010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750909974, enumerated in the NPI registry as an "organization" on July 14, 2020

The provider is located at 4747 Little Rd Arlington, Tx 76017 and the phone number is (817) 765-2010

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider's CLIA number is 45D2100272 for a "other - freestanding er" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 14, 2020. 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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