Provider Type Icon

FT SMITH HMA PHYSICIAN MANAGEMENT LLC NPI 1114218542


NPI Information

NPI: 1114218542
Provider Name: FT SMITH HMA PHYSICIAN MANAGEMENT, LLC

Doing Business As: SPARKS PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1501 S WALDRON RD
SUITE 100
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-7337
Get Directions

FT SMITH HMA PHYSICIAN MANAGEMENT, LLC is a pediatrics in Fort Smith, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FT SMITH HMA PHYSICIAN MANAGEMENT, LLC NPI is 1114218542. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sparks Pediatric Clinic.

The provider's business location address is:

1501 S WALDRON RD
SUITE 100
FORT SMITH, AR
ZIP 72903-574
Phone: (479) 709-7337
Fax: (479) 709-7461

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 4/19/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.