SOUTH ARKANSAS SURGERY CENTER
NPI 1962478115
Clinic/Center - Ambulatory Surgical in Pine Bluff, AR

NPI Status: Active since February 27, 2006

Contact Information

4310 S MULBERRY ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 535-5177
Fax: (870) 535-7878

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About SOUTH ARKANSAS SURGERY CENTER

This page provides the complete NPI Profile along with additional information for South Arkansas Surgery Center, a provider established in Pine Bluff, Arkansas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962478115 assigned on February 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 850 (AR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as South Arkansas Surgery Center. The authorized official of this NPI record is Stephen Donald Shorts Md (President)

NPI
1962478115
Provider Legal Name
SOUTH ARK EAR NOSE & THROAT CLINIC P A
Other Organization Name
SOUTH ARKANSAS SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4310 S MULBERRY ST PINE BLUFF, AR 71603
Location Phone
(870) 535-5177
Location Fax
(870) 535-7878
Mailing Address
4310 S MULBERRY ST PINE BLUFF, AR 71603
Mailing Phone
(870) 535-5177
Mailing Fax
(870) 535-7878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2006
Last Update Date
08-21-2008
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
850
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.

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

STEPHEN DONALD SHORTS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(870) 535-5177

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
11016MEDICARE ID-TYPE UNSPECIFIED (04) 
117713128MEDICAID (05)AR 

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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.
1962478115
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122871612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 7 + 1 + 6 + 1 + 2 + 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 = 55

The NPI number 1962478115 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063744472HEMATOLOGY ONCOLOGY ASSOCIATES P.A.
Organization
Specialist4310 S MULBERRY ST
PINE BLUFF, AR 71603
(870) 534-1188
1427085075DR. KEITH G BENNETT MD
Individual
Family Medicine4310 S MULBERRY ST
PINE BLUFF, AR 71603
(870) 541-8747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962478115, enumerated in the NPI registry as an "organization" on February 27, 2006

The provider is located at 4310 S Mulberry St Pine Bluff, Ar 71603 and the phone number is (870) 535-5177

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.

This NPI record was last updated on February 27, 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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