1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Clinic Center
  6. NPI Profile

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC
NPI 1598068306
Clinic/Center - Ambulatory Surgical in Fort Smith, AR

Active since December 16, 2010CLIA 04D1022158 · Waiver
3314 S 70TH ST, FORT SMITH, AR 72903(479) 424-2744(479) 424-2745 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Executive Park Surgery Center Of Fort Smith, Inc NPPES

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

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC (NPI 1598068306) is a healthcare organization registered as an ambulatory surgical in Fort Smith, Arkansas and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Christopher J Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1598068306
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC
Location Address3314 S 70TH STFort Smith, AR 72903-5052
Mailing Address3314 S 70th StFort Smith, AR 72903-5052 · (479) 424-2744 · Fax (479) 424-2745
Phone(479) 424-2744
Fax(479) 424-2745
Organization SubpartNo
Authorized OfficialChristopher J RodriguezPresident · (479) 424-2744
Enumeration DateDecember 16, 2010
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1598068306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in AR · APPLIED FOR
3314 S 70TH ST, Fort Smith, AR 72903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 04D1022158

Executive Park Surgery Center Of Fort Smith, Inc Dba Executive Park Surgery Center · Fort Smith, AR
Active · expires Feb 8, 2028
CLIA Number04D1022158
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorRosemary Groda
Laboratory Phone(479) 424-2744
Laboratory LocationExecutive Park Surgery Center Of Fort Smith, Inc Dba Executive Park Surgery Center3314 South 70th Street, Fort Smith, AR 72903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
948 services539 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
203 services142 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
46 services23 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
44 services25 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
13 services13 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRONTIER ANESTHESIA SERVICES, LLC
Nurse Anesthetist, Certified Registered
3314 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (615) 620-2320
EXECUTIVE PARK SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
3314 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 424-2744

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 Executive Park Surgery Center Of Fort Smith, Inc's NPI number?

The NPI number for Executive Park Surgery Center Of Fort Smith, Inc is 1598068306. It was assigned to this organization in the NPPES registry on December 16, 2010.

Where is Executive Park Surgery Center Of Fort Smith, Inc located?

Executive Park Surgery Center Of Fort Smith, Inc is located at 3314 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 424-2744.

What is Executive Park Surgery Center Of Fort Smith, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Executive Park Surgery Center Of Fort Smith, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1022158) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Executive Park Surgery Center Of Fort Smith, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Sunflower Health Plan and 6 other insurers list Executive Park Surgery Center Of Fort Smith, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Executive Park Surgery Center Of Fort Smith, Inc was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.