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FORT SMITH HMA PBC MANAGEMENT LLC NPI 1023398641


NPI Information

NPI: 1023398641
Provider Name: FORT SMITH HMA PBC MANAGEMENT, LLC

Doing Business As: FT SMITH PLASTIC SURGERY CLINIC

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
9207 HIGHWAY 71 S
CISTERNA MARKET SUITE 9
FORT SMITH, AR
ZIP 72916
Phone: (479) 709-7275
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FORT SMITH HMA PBC MANAGEMENT, LLC is a plastic surgery in Fort Smith, AR. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. FORT SMITH HMA PBC MANAGEMENT, LLC NPI is 1023398641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ft Smith Plastic Surgery Clinic.

The provider's business location address is:

9207 HIGHWAY 71 S
CISTERNA MARKET SUITE 9
FORT SMITH, AR
ZIP 72916-117
Phone: (479) 709-7275
Fax: (479) 709-7276

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 8/26/2011 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
1208200000XPlastic SurgeryYes

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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