DAVE WARD AMBULATORY SURGERY CENTER, LLC
NPI 1811642069
Clinic/Center - Ambulatory Surgical in Conway, AR

NPI Status: Active since February 16, 2022

Contact Information

2425 DAVE WARD DR
CONWAY, AR
ZIP 72034
Phone: (844) 215-0731
Fax: (888) 630-8885

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 04D2265065
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-21-2026

About DAVE WARD AMBULATORY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Dave Ward Ambulatory Surgery Center, Llc, a provider established in Conway, Arkansas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1811642069 assigned on February 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Elizabeth Waddell Rn (Asc Administrator)

NPI
1811642069
Provider Name
DAVE WARD AMBULATORY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2425 DAVE WARD DR CONWAY, AR 72034
Location Phone
(844) 215-0731
Location Fax
(888) 630-8885
Mailing Address
108 N SHACKLEFORD RD LITTLE ROCK, AR 72211
Mailing Phone
(844) 215-0731
Mailing Fax
(888) 630-8885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2022
Last Update Date
02-16-2022
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

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

ELIZABETH WADDELL RN

Authorized Official Title
ASC ADMINISTRATOR
Authorized Official Phone
(501) 766-1065

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
04D2265065
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 22, 2024
Certificate Expiration Date
July 21, 2026
Laboratory Director
MS. ELIZABETH WADDELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dave Ward Ambulatory Surgery Center, Llc 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 DAVE WARD AMBULATORY SURGERY CENTER, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1811642069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211244012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 2 + 4 + 4 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1811642069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265419774 RANDAL G BOWLIN MD
Individual
Family Medicine2425 DAVE WARD DR STE 401
CONWAY, AR 72034
(501) 329-3824
1063499150 JOE C CUMMINS MD
Individual
Family Medicine2425 DAVE WARD DR SUITE 401
CONWAY, AR 72034
(501) 329-3824
1861479966 LANDER A SMITH MD
Individual
Family Medicine2425 DAVE WARD DR SUITE 401
CONWAY, AR 72034
(501) 329-3824
1730166844 DAVID L NAYLOR MD
Individual
Family Medicine2425 DAVE WARD DR STE 401
CONWAY, AR 72034
(501) 329-3824
1457330011DR. SHELLEY W RUSSELL M.D.
Individual
Dermatology2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034
(501) 328-5050
1033198510DR. ERIC BRIAN RUSSELL M.D.
Individual
Dermatology2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034
(501) 328-5050
1477522217SELECT PHYSICAL THERAPY HOLDINGS INC
Organization
Clinic/Center (Physical Therapy)2425 DAVE WARD DR NUMBER 103
CONWAY, AR 72034
(501) 327-1730
1407811169DR. DAVID MICHAEL ARNOLD M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)2425 DAVE WARD DR SUITE 201
CONWAY, AR 72034
(501) 329-7246
1639134067RUSSELL DERMATOLOGY OF CONWAY, PLLC
Organization
Dermatology2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034
(501) 328-5050
1558536219MS. KATHLEEN E. PHILLIPS M.S., CCC-A
Individual
Audiologist2425 DAVE WARD DR SUITE 101
CONWAY, AR 72034
(501) 932-7600
1902043227SAINT-MARK ENTERPRISES 1890 LLC
Organization
Pharmacy (Community/Retail Pharmacy)2425 DAVE WARD DR SUITE 602
CONWAY, AR 72034
(501) 329-7777
1558667683ANNETTE N. ANDERSON, MD, PA
Organization
Psychiatry & Neurology (Geriatric Psychiatry)2425 DAVE WARD DR SUITE 102
CONWAY, AR 72034
(501) 932-0480
1740481274 TRUDY DAVIS FORBUSH PHYSICAL THERAPIST
Individual
Physical Therapist2425 DAVE WARD DR
CONWAY, AR 72034
(501) 327-1730
1861455057BOWLIN-CUMMINS PA
Organization
Clinic/Center (Rural Health)2425 DAVE WARD DR STE 401
CONWAY, AR 72034
(501) 329-3824
1992180269 NATALIE CLAIRE BROWND APRN
Individual
Nurse Practitioner (Family)2425 DAVE WARD DR SUITE #401
CONWAY, AR 72034
(501) 329-3824
1962862557MRS. RACHEL CHOATE MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034
(501) 328-5050
1871990937THE PAIN MEDICINE CONSULTANTS GROUP
Organization
Durable Medical Equipment & Medical Supplies2425 DAVE WARD DR GORDY BUILDING STE 102
CONWAY, AR 72034
(501) 764-1150
1114461118DR. LEAH MARIE LAMB
Individual
Pharmacist2425 DAVE WARD DR SUITE 602
CONWAY, AR 72034
(501) 329-3777
1023099009 DAVID WILLIAM SMITH P.D.
Individual
Pharmacist2425 DAVE WARD DR STE. 602
CONWAY, AR 72034
(501) 329-3777
1790776912JJJ SMITH, INC
Organization
Pharmacist2425 DAVE WARD DR STE. 602
CONWAY, AR 72034
(501) 329-3777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811642069, enumerated in the NPI registry as an "organization" on February 16, 2022

The provider is located at 2425 Dave Ward Dr Conway, Ar 72034 and the phone number is (844) 215-0731

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 04D2265065 for a "ambulatory surgery center" 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 February 16, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.