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FORT SMITH RADIATION ONCOLOGY NPI 1215107008


NPI Information

NPI: 1215107008
Provider Name: FORT SMITH RADIATION ONCOLOGY
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
8500 S 36TH TER
FORT SMITH, AR
ZIP 72908
Phone: (479) 648-1800
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FORT SMITH RADIATION ONCOLOGY is a radiation oncology radiology in Fort Smith, AR. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. FORT SMITH RADIATION ONCOLOGY NPI is 1215107008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8500 S 36TH TER
FORT SMITH, AR
ZIP 72908-880
Phone: (479) 648-1800
Fax: (479) 434-5899

The provider's authorized official is Becky D Fitzpatrick .
The authorized official title is Business Manager and has the following contact phone number (479) 648-1800.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 7/14/2011.


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
12085R0001XRadiologyRadiation OncologyE1533ARKANSASYes

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
1137035002MEDICAIDARKANSAS
2100727970AMEDICAIDOKLAHOMA

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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