VAN BUREN HMA LLC NPI 1093073553

NPI Information

  • NPI: 1093073553
  • Provider Name: VAN BUREN HMA, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: SUMMIT WOUND HEALING CENTER
  • Address: 2010 CHESTNUT ST
    SUITE F
    VAN BUREN, AR
    ZIP 72956
  • Phone: (479) 471-4150

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NPI Details

VAN BUREN HMA, LLC is a surgery in Van Buren, AR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. VAN BUREN HMA, LLC NPI is 1093073553. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Wound Healing Center.

The provider's business location address is:

2010 CHESTNUT ST
SUITE F
VAN BUREN, AR
ZIP 72956-321
Phone: (479) 471-4150
Fax: (479) 471-4188

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 11/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157219MEDICARE PINARKANSAS

What is NPI?

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This page was last updated on: 3/30/2025

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