INTERVENTIONAL SURGERY INSTITUTE – NPI #1043625221
Clinic/Center

INTERVENTIONAL SURGERY INSTITUTE is an AHC clinic located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1043625221 to INTERVENTIONAL SURGERY INSTITUTE on June 25, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTERVENTIONAL SURGERY INSTITUTE” is a dba name, the actual legal business name for this organization is INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 7 years ago on Jan 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERVENTIONAL SURGERY INSTITUTE below.

NPI Profile for
INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC

NPI Number
1043625221
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERVENTIONAL SURGERY INSTITUTE OF LITTLE ROCK, LLC
Doing Business As (dba): INTERVENTIONAL SURGERY INSTITUTE
Primary location
9 FREEWAY DRIVE
SUITE A
LITTLE ROCK, AR 72204
Phone: (844) 215-0731 Fax: (501) 404-9625
Mailing address
108 N. SHACKLEFORD ROAD
SUITE 200
LITTLE ROCK, AR 72211
Phone: (501) 346-8116 Fax: (501) 771-4885
Organization Subpart
Yes - INTERVENTIONAL SURGERY INSTITUTE is subpart of another organization.
Authorized Official
WILLIAM MCCRARY
CEO
Phone: (501) 346-8116
Updated
Identifiers

Identifiers for INTERVENTIONAL SURGERY INSTITUTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR208454128
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.