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FORT SMITH HMA PBC MANAGEMENT LLC NPI 1619214798


NPI Information

NPI: 1619214798
Provider Name: FORT SMITH HMA PBC MANAGEMENT LLC

Doing Business As: SPARKS UROLOGY GROUP

Classification: Urology - 208800000X
Entity Type: Organization
Address:
5500 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-2411
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FORT SMITH HMA PBC MANAGEMENT LLC is an urology in Fort Smith, AR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FORT SMITH HMA PBC MANAGEMENT LLC NPI is 1619214798. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sparks Urology Group.

The provider's business location address is:

5500 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903-222
Phone: (479) 242-2411
Fax: (479) 242-2412

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 1/10/2013 and was last updated on 1/10/2013.


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
1208800000XUrologyYes

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 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: 4/28/2024

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