Orthoarkansas Spine Institute Procedure Center LLC
Clinic/Center, Ambulatory Surgical in Little Rock, AR. Organization (NPI-2).
Details
- NPI
- 1629675285
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthoarkansas Spine Institute Procedure Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Sep 24, 2021
- Last updated
- Sep 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
800 Fair Park Blvd Ste 300Little Rock, AR 72204-1720
Phone 501-813-5621 · Fax 501-500-4880
Mailing address
800 Fair Park Blvd Ste 300Little Rock, AR 72204-1720
Phone 501-813-5621
Authorized official
Traci Fox
Administrator
5019009797
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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