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MERCY CLINIC FORT SMITH COMMUNITIES NPI 1699070649


NPI Information

NPI: 1699070649
Provider Name: MERCY CLINIC FORT SMITH COMMUNITIES

Other Name: MERCY CLINIC RIVER VALLEY MUSCULOSKELETAL

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3501 WE KNIGHT DR
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-6700
Get Directions

MERCY CLINIC FORT SMITH COMMUNITIES is an orthopaedic surgery in Fort Smith, AR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MERCY CLINIC FORT SMITH COMMUNITIES NPI is 1699070649. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mercy Clinic River Valley Musculoskeletal.

The provider's business location address is:

3501 WE KNIGHT DR
FORT SMITH, AR
ZIP 72903-248
Phone: (479) 709-6700
Fax: (479) 790-6709

The provider's authorized official is Raymond Cole Goodman .
The authorized official title is President and has the following contact phone number (479) 314-6100.

The enumeration date for this NPI number is 1/24/2011 and was last updated on 1/12/2015.


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
1207QS0010XFamily MedicineSports MedicineNo
2207T00000XNeurological SurgeryNo
3213E00000XPodiatristNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6207X00000XOrthopaedic 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
15G765MEDICARE PINARKANSAS
2DR1533OTHERARKANSASRAILROAD MEDICARE
3186193002MEDICAIDARKANSAS
45G406OTHERARKANSASBLUE CROSS BLUE SHIELD
5200199350HMEDICAIDOKLAHOMA

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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