OrganizationActive
Little Rock Surgical Clinic
NPI 1104994326 · Medical Specialty Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1104994326
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terri Watson, Office Manager(501) 664-2434
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S University Ave
Suite 317
Little Rock, AR 72205-5302
Phone: (501) 664-2434
Street-level locationGet directions
Mailing address
500 S University Ave
Little Rock, AR 72205-5302
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.