Ozark Surgical Associates

LBN: Ozark Surgical Associates
Ozark Surgical Associates is an health care organization with primary practice located at 3017 N Bob Younkin Dr Suite 101, Fayetteville AR 72703-3926. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Ozark Surgical Associates can be contacted via phone (479) 521-1484, or through Peters, Clara J. via phone (479) 521-1484.

Contact Information

Primary practice address
3017 N Bob Younkin Dr Suite 101 Fayetteville AR 72703-3926
Phone: (479) 521-1484
Fax: (479) 521-1550
Website:
Map and Directions
Authorized official contact:
Name: Peters, Clara J.
Phone: (479) 521-1484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C7126 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X E0751 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X E3076 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X N8290 Arkansas

Profile Details

NPI number 1013905587
LBN Legal business name Ozark Surgical Associates
DBA Doing business as
Authorized official Peters, Clara J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Nov 10th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013905587 NPPES
Arkansas MEDICAID 146704002

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