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WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER NPI 1194730077


NPI Information

NPI: 1194730077
Provider Name: WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
8101 MCCLURE DR STE 301
FORT SMITH, AR
ZIP 72916
Phone: (479) 709-8300
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WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER 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. WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER NPI is 1194730077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8101 MCCLURE DR STE 301
FORT SMITH, AR
ZIP 72916-056
Phone: (479) 709-8300
Fax: (479) 709-8315

The provider's authorized official is James E Kelly .
The authorized official title is Owner and has the following contact phone number (479) 709-8300.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 1/8/2020.


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 SurgeryE0847ARKANSASYes

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
1130121001MEDICAIDARKANSAS
2100000480AMEDICAIDOKLAHOMA

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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