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PDSC ANESTHESIA
NPI 1538538905
Anesthesiology in Pine Bluff, AR

Active since September 16, 2015CLIA 04D1013221 · Waiver
2705 S ORLANDO ST, PINE BLUFF, AR 71603(870) 536-4100(870) 536-9020 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pdsc Anesthesia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PDSC ANESTHESIA (NPI 1538538905) is a healthcare organization registered as an anesthesiology in Pine Bluff, Arkansas and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through June 3, 2027, maintains 2 additional practice locations, and lists Hallie Muilenburg, Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1538538905
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePHYSICIANS DAY SURGERY CENTER
Location Address2705 S ORLANDO STPine Bluff, AR 71603-4718
Mailing Address10700 N Rodney Parham Rd Ste C1-aLittle Rock, AR 72212-4191 · (501) 293-3626 · Fax (870) 536-9020
Phone(870) 536-4100
Fax(870) 536-9020
Organization SubpartNo
Authorized OfficialHallie MuilenburgRev Cycle · (501) 293-3626
Enumeration DateSeptember 16, 2015
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1538538905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2705 S ORLANDO ST, Pine Bluff, AR 71603
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Other Names 1

Doing Business AsPdsc Anesthesia

Secondary Practice Locations 2

Location 117200 Chenal Pkwy, Ste 440Little Rock, AR 72223-5958 · Phone (501) 830-2020
Location 210700 N Rodney Parham Rd Ste C1-BLittle Rock, AR 72212-4191 · Phone (501) 293-3626 · Fax (870) 536-9020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pdsc Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pdsc Anesthesia, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jamie Williams, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518194828
3805 W 28TH AVE
Pine Bluff, AR 71603
(870) 536-4100
✔ Accepts MedicareSame address
Jon Valentine, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306841358
1801 W 40TH AVE STE 2B
Pine Bluff, AR 71603
(870) 535-7457
✔ Accepts Medicare1.7 mi
Casey Polk
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477968030
9601 INTERSTATE 630 EXIT 7
Little Rock, AR 72205
(501) 202-2093
✔ Accepts Medicare42 mi
Don Fletcher
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356378954
10001 LILE DR
Little Rock, AR 72205
(501) 227-8000
✔ Accepts Medicare42 mi
Russell Beavers, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700881778
24 GLASGOW CT
Little Rock, AR 72211
(870) 489-1592
✔ Accepts Medicare45 mi
Patrick Flynn, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225569080
300 WERNER ST
Hot Springs, AR 71913
(501) 664-4532
✔ Accepts Medicare61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1013221

Physicians Day Surgery Center · Little Rock, AR
Active · expires Jun 3, 2027
CLIA Number04D1013221
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorMike S. Mc Farland
Laboratory Phone(800) 451-6686
Laboratory LocationPhysicians Day Surgery Center17200 Chenal Parkway Suite 440, Little Rock, AR 72212
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicians Day Surgery Center's NPI number?

The NPI number for Physicians Day Surgery Center is 1538538905. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Pdsc Anesthesia.

Where is Physicians Day Surgery Center located?

Physicians Day Surgery Center is located at 2705 S Orlando St, Pine Bluff, AR 71603. The listed phone number is (870) 536-4100.

What is Physicians Day Surgery Center's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Physicians Day Surgery Center enrolled in Medicare?

Yes. Physicians Day Surgery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Day Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Physicians Day Surgery Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Physicians Day Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1013221) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physicians Day Surgery Center was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.