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UROLOGY GROUP OF WESTERN ARKANSAS NPI 1326019506


NPI Information

NPI: 1326019506
Provider Name: UROLOGY GROUP OF WESTERN ARKANSAS
Classification: Urology - 208800000X
Entity Type: Organization
Address:
5500 ELLSWORTH RD.
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-2411
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UROLOGY GROUP OF WESTERN ARKANSAS 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. UROLOGY GROUP OF WESTERN ARKANSAS NPI is 1326019506. The provider is registered as an organization entity type and is a single specialty 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 John Lange .
The authorized official title is President and has the following contact phone number (479) 709-7416.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 3/23/2012.


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
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
15F330MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2154225002MEDICAIDARKANSAS
3200027500AMEDICAIDOKLAHOMA
45F080OTHERARKANSASBLUE CROSS

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: 11/14/2023

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