Provider Demographics
NPI:1427005958
Name:HELENA SURGERY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:HELENA SURGERY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KONTOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:870-338-7000
Mailing Address - Street 1:1805 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:PO BOX 224
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-8998
Mailing Address - Country:US
Mailing Address - Phone:870-338-7000
Mailing Address - Fax:870-338-7005
Practice Address - Street 1:1805 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-8998
Practice Address - Country:US
Practice Address - Phone:870-338-7000
Practice Address - Fax:870-338-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4174208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F146Medicare ID - Type Unspecified