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FORT SMITH HMA PHYSICIAN MANAGEMENT LLC NPI 1740515279


NPI Information

NPI: 1740515279
Provider Name: FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2248241

Address:
1500 DODSON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7399
Get Directions

FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC 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. FORT SMITH HMA PHYSICIAN MANAGEMENT, LLC NPI is 1740515279. The provider is registered as an organization entity type and is a multi-specialty group.

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 James P Wright .
The authorized official title is Senior Director and has the following contact phone number (615) 465-7587.

The CLIA number assigned to this NPI record is 04D2248241 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2009 and was last updated on 1/28/2016.


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
1208600000XSurgeryNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4207RG0100XInternal MedicineGastroenterologyNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6207V00000XObstetrics & GynecologyNo
7207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
8207RI0200XInternal MedicineInfectious DiseaseNo
92083X0100XPreventive MedicineOccupational MedicineNo
10207RC0000XInternal MedicineCardiovascular DiseaseNo
11207Q00000XFamily MedicineYes

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
15G439MEDICARE PINARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.