CISTERNA EMERGENCY PHYSICIANS LLC (NPI# 1306178371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306178371 |
| Entity Type | Organization |
| Organization Name | CISTERNA EMERGENCY PHYSICIANS LLC |
| Practice Address |
1001 Towson Ave Fort Smith AR 72902 |
| Mailing Address |
18167 Us Highway 19 N Suite 650 Dallas TX 75240 |
| Practice Telephone | 4794414000 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1001 TOWSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314203 | Cygnet A Bise | Physical Medicine & Rehabilitation | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2005-05-23 |
| 1083259766 | Mireya Adame | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-11-17 |
| 1891337275 | Alicia Anne Schlesier | Family Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-17 |
| 1811538424 | Ashley Renee Calvillo | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-10-04 |
| 1588212575 | Lino Lamb | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-09-03 |
| 1063069326 | Tara Rae Sandusky | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-08-21 |
| 1962975664 | Thurithabhani Maechler | Anesthesiology | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-01-04 |
| 1750856043 | Baptist Health Services | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-10-12 |
| 1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
| 1710463146 | Baptist Health Regional Hospitals | General Acute Care Hospital | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083881437 | Robert Mack Inc | Occupational Therapist | 1801 South 74, Ft Smith, AR 72902 | 2008-05-14 |
| 1386198463 | Sue Hughart | Speech-Language Pathologist | 3205 Jenny Lind Rd, Fort Smith, AR 72902-1948 | 2016-08-07 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034775 | Brandon Keith Vick | Emergency Medicine | 612 South 12th St., Family Medicine Uams-west, Fort Smith, AR 72901 | 2017-03-23 |
| 1336378462 | Kristin R Pece | Emergency Medicine | 7301 Rogers Av, Fort Smith, AR 72903 | 2009-07-10 |
| 1093772592 | James Cary Wilson | Emergency Medicine | 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903-4100 | 2006-04-27 |
| 1972582260 | Danny Silver | Emergency Medicine | 4600 Towson Ave, Suite 101-w-1, Fort Smith, AR 72901-7961 | 2006-01-13 |
| 1134106743 | Dwight Joseph Johnson | Emergency Medicine | 2706 Herbert St, Fort Smith, AR 72901-4283 | 2005-12-23 |
| 1922539907 | Jonathan D Moser | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2017-03-22 |
| 1629425061 | Chiricka Orisakwe | Emergency Medicine | 612 South 12th Street, Family Medicine Uams-west, Fort Smith, AR 72901 | 2016-05-16 |
| 1437545761 | Wallace Lock | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2015-04-14 |
| 1417343724 | Eric Fredrickson | Emergency Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-04-13 |
| 1861886731 | Aaron Bull | Emergency Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-03-27 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72902 |
Please comment or provide details below to improve the information on CISTERNA EMERGENCY PHYSICIANS LLC.
| 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.