ONGKARN SARASOMBATH (NPI# 1043400104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043400104 |
| Entity Type | Individual |
| Full Name | ONGKARN SARASOMBATH |
| Credential | M.D. |
| Practice Address |
6801 Rogers Ave Fort Smith AR 72903-4067 |
| Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
| Practice Telephone | 4792742000 |
| Practice Fax Number | 4792742194 |
| Mailing Telephone | 4792742000 |
| Mailing Fax Number | 4792742194 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2012037438 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 201021001 | 05 | |
| AR | MEDICAL LICENSE | E8112 | 01 |
| OK | 200502490A | 05 |
| Street Address |
6801 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277401 | Frederick B Niegos | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2005-07-07 |
| 1760949887 | Rachel Elise Jones | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2019-02-25 |
| 1720592223 | Mercy Clinic Fort Smith Communities | Durable Medical Equipment & Medical Supplies | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2017-11-21 |
| 1588117519 | Cooper Clinic Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1427501451 | Yong Ounpraseuth | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
| 1386011211 | Cooper Clinic, Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-26 |
| 1518333988 | Gary Widner | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-19 |
| 1699151209 | Jason Johnson | Audiologist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-05 |
| 1316336761 | Cooper Clinic, Pa | Pharmacist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-01-22 |
| 1386042927 | Mandy Lee Fluitt | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2014-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277401 | Frederick B Niegos | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2005-07-07 |
| 1790258002 | Mercy Clinic Fort Smith Communities | Internal Medicine | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2019-01-09 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1366797060 | Fort Smith Hma Pbc Management, LLC | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2012-07-18 |
| 1093006728 | Ft Smith Hma Physician Management, LLC | Internal Medicine | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1790097129 | Rahim Khorassanizadeh | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2010-07-14 |
| 1396763918 | Cory L Gamble | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-18 |
| 1063431328 | Paul K Howell Jr. | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-18 |
| 1043290836 | Jason Glenn Daily | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-01-19 |
| 1154310423 | Muhammad Houri | Internal Medicine | 1500 Dodson Ave, Ste 285, Fort Smith, AR 72901-5182 | 2005-10-19 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on ONGKARN SARASOMBATH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.