Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Park Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1699736777

Executive Park Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Fort Smith, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3314 S 70th St
Fort Smith, AR 72903-5052
Phone: (479) 424-2744
Fax: (479) 424-2745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1699736777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Ennen — President · (479) 424-2744
NPI enumeratedMarch 29, 2006
Last updated in NPPESDecember 16, 2010
Mailing address3314 S 70th St, Fort Smith, AR 72903-5052

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