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FORT SMITH HMA PBC MANAGEMENT LLC NPI 1366797060


NPI Information

NPI: 1366797060
Provider Name: FORT SMITH HMA PBC MANAGEMENT, LLC

Doing Business As: SPARKS THYROID & ENDOCRINOLOGY CENTER

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
4700 KELLEY HWY
FORT SMITH, AR
ZIP 72904
Phone: (479) 709-7490
Get Directions

FORT SMITH HMA PBC MANAGEMENT, LLC is an endocrinology and diabetes and metabolism internal medicine in Fort Smith, AR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. FORT SMITH HMA PBC MANAGEMENT, LLC NPI is 1366797060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sparks Thyroid & Endocrinology Center.

The provider's business location address is:

4700 KELLEY HWY
FORT SMITH, AR
ZIP 72904-024
Phone: (479) 709-7490
Fax: (479) 573-7991

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 7/18/2012 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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
15G434MEDICARE PIN

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

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