SOUTH ARKANSAS SURGERY CENTER
NPI 1619037066
Clinic/Center - Ambulatory Surgical in El Dorado, AR

Active since December 08, 2006CLIA 04D1073689 · Waiver
2704 VINE STREET, EL DORADO, AR 71730(870) 864-6696 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Sep 30, 2020 (2 updates tracked since 2020).

About South Arkansas Surgery Center NPPES

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

SOUTH ARKANSAS SURGERY CENTER (NPI 1619037066) is a healthcare organization registered as an ambulatory surgical in El Dorado, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Jeff Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1619037066
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE EL DORADO AR MULTISPECIALTY ASC LLC
Location Address2704 VINE STREETEl Dorado, AR 71730
Mailing Address2704 Vine StreetEl Dorado, AR 71730 · (870) 862-1636 · Fax (870) 862-2239
Organization SubpartNo
Authorized OfficialJeff SnodgrassPresident · (615) 665-1283
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1619037066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2704 VINE STREET, El Dorado, AR 71730

Other Names 1

Doing Business AsSouth Arkansas Surgery Center

Other Identifiers 1

Medicaid168467128AR

Accepted 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 04D1073689

South Arkansas Surgery Center The El Dorado Ar Multi-Specialty ASC, LLC · El Dorado, AR
Active · expires Sep 12, 2027
CLIA Number04D1073689
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorKenneth G. Gati MD
Laboratory Phone(870) 864-6696
Laboratory LocationSouth Arkansas Surgery Center The El Dorado Ar Multi-Specialty ASC, LLC2704 Vine Street, El Dorado, AR 71730
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 13

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 polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
119 services119 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
64 services64 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
35 services35 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
31 services31 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
30 services27 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
26 services26 patients

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 The El Dorado Ar Multispecialty ASC LLC's NPI number?

The NPI number for The El Dorado Ar Multispecialty ASC LLC is 1619037066. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as South Arkansas Surgery Center.

Where is The El Dorado Ar Multispecialty ASC LLC located?

The El Dorado Ar Multispecialty ASC LLC is located at 2704 Vine Street, El Dorado, AR 71730. The listed phone number is (870) 864-6696.

What is The El Dorado Ar Multispecialty ASC LLC's specialty?

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

Does The El Dorado Ar Multispecialty ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1073689) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The El Dorado Ar Multispecialty ASC LLC 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 Superior HealthPlan and 5 other insurers list The El Dorado Ar Multispecialty ASC LLC 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 The El Dorado Ar Multispecialty ASC LLC was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.