NORMA SMITH MD PA NPI 1083916894

NPI Information

  • NPI: 1083916894
  • Provider Name: NORMA SMITH MD PA
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: EASTSIDE HEALTH & GYNECOLOGY
  • CLIA Number: 04D2049071
  • Address: 8101 MCCLURE DR STE 101
    FORT SMITH, AR
    ZIP 72916
  • Phone: (479) 484-7100

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NPI Details

NORMA SMITH MD PA is a medical specialty clinic center in Fort Smith, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORMA SMITH MD PA NPI is 1083916894. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Health & Gynecology.

The provider's business location address is:

8101 MCCLURE DR STE 101
FORT SMITH, AR
ZIP 72916-040
Phone: (479) 484-7100
Fax: (479) 478-7255

The provider's authorized official is Michelle Ann Zulch .
The authorized official title is Manager and has the following contact phone number (479) 484-7100.

The CLIA number assigned to this NPI record is 04D2049071 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 10/22/2018.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
15G371OTHERARKANSASAR BCBS

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: 11/21/2025

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