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FORT SMITH HMA PHYSICIAN MANAGEMENT LLC NPI 1205187564


NPI Information

NPI: 1205187564
Provider Name: FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC

Doing Business As: SPARKS CARDIOTHORACIC AND VASCULAR SURGERY

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
923 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7025
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FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC is a thoracic surgery cardiothoracic vascular surgery in Fort Smith, AR. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC NPI is 1205187564. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sparks Cardiothoracic And Vascular Surgery.

The provider's business location address is:

923 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901-943
Phone: (479) 709-7025
Fax: (479) 709-7026

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 9/27/2012 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15G439MEDICARE PINARKANSAS

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: 11/14/2023

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