FORT SMITH REGIONAL DIALYSIS CENTER LLC (NPI# 1255398939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255398939 |
| Entity Type | Organization |
| Organization Name | FORT SMITH REGIONAL DIALYSIS CENTER LLC |
| Practice Address |
2201 Brooken Hill Dr Fort Smith AR 72908-8611 |
| Practice Telephone | 4797556700 |
| Practice Fax Number | 4797556704 |
| Mailing Telephone | 4797556700 |
| Mailing Fax Number | 4797556704 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-06-13 |
| Authorized Official Name | LAURA PALMER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4797556750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596916 | Fort Smith Regional Dialysis Center LLC | Clinic/Center | 2201 Brooken Hill Dr, Fort Smith, AR 72908-8611 | 2005-05-23 |
| Street Address |
2201 BROOKEN HILL DR |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72908-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596916 | Fort Smith Regional Dialysis Center LLC | Clinic/Center | 2201 Brooken Hill Dr, Fort Smith, AR 72908-8611 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1578840765 | Thomas Macmahon | Counselor | 2505 Ramsgate Way, Fort Smith, AR 72908 | 2011-11-16 |
| 1790991453 | Dr Tom A Wood Chiropractic Inc | Chiropractor | 6108 S 31st Street, Ft Smith, AR 72908 | 2007-05-16 |
| 1952317687 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 South, Fort Smith, AR 72908 | 2006-08-01 |
| 1609879808 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 S, Ft. Smith, AR 72908 | 2005-05-23 |
| 1912415563 | Dr. Shane F. Laster P.a. | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908 | 2018-01-17 |
| 1700962438 | Kristin L Efurd | Speech-Language Pathologist | 3520 Glen Flora Way, Fort Smith, AR 72908-0719 | 2006-10-27 |
| 1760658488 | Hillaree Tiffee | Occupational Therapist | 3409 Coventry Ln, Fort Smith, AR 72908-0777 | 2008-05-02 |
| 1588051031 | Olivia Morgan Lensing | Speech-Language Pathologist | 10808 Saint Anthony Ct, Fort Smith, AR 72908-0789 | 2015-04-22 |
| Find all providers in zip 72908 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1124507934 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 280, Fort Smith, AR 72901 | 2018-08-13 |
| 1023318334 | Charles Moussallem | Internal Medicine | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2010-11-02 |
| 1861550790 | Hania Ziad Al-shahrouri | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2006-12-04 |
| 1982634580 | Michael D Coleman Jr. | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-03 |
| 1326078924 | Michael D Coleman Sr. | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-03 |
| 1710974548 | Dana P Rabideau | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| 1912995713 | James T Henry | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| 1245228055 | James L Bruton | Internal Medicine | 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72908 |
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| 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.