OrganizationActive
Little Rock Outpatient Surgery Center, LLC
NPI 1548256365 · Ambulatory Surgical Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1548256365
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Kincaid, Administrator(501) 217-9007
- License
- AR4172 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
8907 Kanis Rd
Ste. 100
Little Rock, AR 72205-6449
Phone: (501) 217-9007
Fax: (501) 221-0337
Street-level locationGet directions
Mailing address
8907 Kanis Rd
Little Rock, AR 72205-6449
Other names (DBA / former)
- Doing business as
- Rivercrest Specialty Surgery Center
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2008-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.