SPARKS MEDICAL FOUNDATION NPI 1386634285

NPI Information

NPI: 1386634285
Provider Name: SPARKS MEDICAL FOUNDATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1500 DODSON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7399
Get Directions

SPARKS MEDICAL FOUNDATION is a family medicine in Fort Smith, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARKS MEDICAL FOUNDATION NPI is 1386634285. The provider is registered as an organization entity type.

The provider's business location address is:

1500 DODSON AVE
FORT SMITH, AR
ZIP 72901-182
Phone: (479) 709-7399
Fax: (479) 709-7053

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 10/24/2005 and was last updated on 10/28/2009.

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	Primary
1	291U00000X	Clinical Medical Laboratory		No
2	2085B0100X	Radiology	Body Imaging	No
3	2085N0700X	Radiology	Neuroradiology	No
4	2085N0904X	Radiology	Nuclear Radiology	No
5	2085P0229X	Radiology	Pediatric Radiology	No
6	103T00000X	Psychologist		No
7	207N00000X	Dermatology		No
8	207R00000X	Internal Medicine		No
9	208000000X	Pediatrics		No
10	2083X0100X	Preventive Medicine	Occupational Medicine	No
11	2084N0400X	Psychiatry & Neurology	Neurology	No
12	208600000X	Surgery		No
13	207V00000X	Obstetrics & Gynecology		No
14	208VP0000X	Pain Medicine	Pain Medicine	No
15	207Q00000X	Family Medicine		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	DC9534	MEDICARE PIN	OKLAHOMA
2	155188002	MEDICAID	ARKANSAS
3	5F202	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	GROUP NUMBER
4	400522223	MEDICARE PIN	OKLAHOMA
5	100706990J	MEDICAID	OKLAHOMA
6	CJ7916	MEDICARE PIN	ARKANSAS

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

NPI Synchronization or Removal

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