ARKANSAS SURGERY & ENDOSCOPY CENTER – NPI #1306017140
Clinic/Center

ARKANSAS SURGERY & ENDOSCOPY CENTER is an AHC clinic located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1306017140 to ARKANSAS SURGERY & ENDOSCOPY CENTER on March 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on May 28, 2026. 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 ARKANSAS SURGERY & ENDOSCOPY CENTER below.

NPI Profile for
ARKANSAS SURGERY & ENDOSCOPY CENTER

NPI Number
1306017140
Enumeration Date

(more than 18 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
ARKANSAS SURGERY & ENDOSCOPY CENTER
Primary location
14918 CANTRELL RD
LITTLE ROCK, AR 72223-4248
Phone: (501) 663-4747 Fax: (501) 663-4757
Mailing address
PO BOX 925
PINE BLUFF, AR 71613-0925
Phone: (870) 534-5533 Fax: (870) 534-5535
Organization Subpart
No
Authorized Official
AHMED SAMAD
CEO
Phone: (870) 692-0316
Updated
Certification Date
May 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ARKANSAS SURGERY & ENDOSCOPY CENTER

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
medicaidAR176373128
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)
AR R4495

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.