SPARKS REGIONAL MEDICAL CENTER NPI 1679784367

NPI Information

NPI: 1679784367
Provider Name: SPARKS REGIONAL MEDICAL CENTER

Doing Business As: SMF FOOT & ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1500 DODSON AVE
STE 290
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7399
Get Directions

SPARKS REGIONAL MEDICAL CENTER is a foot and ankle surgery podiatrist in Fort Smith, AR. SPARKS REGIONAL MEDICAL CENTER NPI is 1679784367. The provider is registered as an organization entity type.
The provider Is Doing Business As Smf Foot & Ankle.

The provider's business location address is:

1500 DODSON AVE
STE 290
FORT SMITH, AR
ZIP 72901-182
Phone: (479) 709-7399

The provider's authorized official is Rebecca Friddle .
The authorized official title is Sparks Provider Relations Manager and has the following contact phone number (479) 709-7057.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 11/10/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			ARKANSAS	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	239	ARKANSAS	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5A434	MEDICARE PIN	ARKANSAS
2	200116230A	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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