FORT SMITH HMA PBC MANAGEMENT, LLC


Address: 4700 Kelley Hwy Ste B, Fort Smith, AR 72904-5024
Phone: 4795737990

FORT SMITH HMA PBC MANAGEMENT, LLC (NPI# 1306269006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306269006
Entity Type Organization
Organization Name FORT SMITH HMA PBC MANAGEMENT, LLC
Other Organization Name SPARKS CLINIC INTERNAL MEDICINE
Practice Address 4700 Kelley Hwy Ste B
Fort Smith
AR 72904-5024
Mailing Address Po Box 402319
Atlanta
GA 30384-2319
Practice Telephone 4795737990
Practice Fax Number 4795737991
Mailing Telephone 4795737990
Mailing Fax Number 4795737991
Enumeration Date 2014-01-31
Last Update Date 2014-01-31
Authorized Official Name STACY LUCIUS (PRESIDENT, HMPN)
Authorized Official Telephone 2395523575
Is Organization Subpart Y
Parent Organization Name HEALTH MANAGEMENT ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Sparks Clinic Internal Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306198494 Fort Smith Hma Pbc Management, LLC Family Medicine 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903-4164 2012-10-12
1366797060 Fort Smith Hma Pbc Management, LLC Internal Medicine 4700 Kelley Hwy, Fort Smith, AR 72904-5024 2012-07-18
1750649877 Fort Smith Hma Pbc Management, LLC Internal Medicine 2020 Chestnut St, Suite 108, Van Buren, AR 72956-5321 2012-04-26
1174895940 Fort Smith Hma Pbc Management, LLC Psychiatry & Neurology 1500 Dodson Ave, Suite 175, Fort Smith, AR 72901-5182 2012-02-08
1548532856 Fort Smith Hma Pbc Management, LLC Surgery 2020 Chestnut St, Suite 108, Van Buren, AR 72956-5321 2012-02-01
1417230228 Fort Smith Hma Pbc Management, LLC Radiology 1502 Dodson Ave, Fort Smith, AR 72901-5128 2011-09-28
1023398641 Fort Smith Hma Pbc Management, LLC Plastic Surgery 9207 Highway 71 S, Cisterna Market Suite 9, Fort Smith, AR 72916-9117 2011-08-26
1700179132 Fort Smith Hma Pbc Management, LLC Physician Assistant 1120 Lexington Ave, Fort Smith, AR 72901-5136 2011-05-18
1386936581 Fort Smith Hma Pbc Management, LLC Physician Assistant 1120 Lexington Ave, Fort Smith, AR 72901-5136 2011-05-05
1912299116 Fort Smith Hma Pbc Management, LLC Surgery 1001 Towson Ave, Fort Smith, AR 72901-4921 2011-05-05

Office Location

Street Address 4700 KELLEY HWY STE B
City FORT SMITH
State AR
Zip Code 72904-5024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659850329 Baptist Health Services Internal Medicine 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 2018-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871072751 Baptist Health Services Family Medicine 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 2018-08-10
1649799081 Timothy Morris Case Manager/Care Coordinator 5900 Kinkead Ave 477, Fort Smith, AR 72904 2017-09-18
1326564980 Lyndy Luree Raley Speech-Language Pathologist 3300 Harris Ave., Fort Smith, AR 72904 2017-08-16
1104175280 Chelsea Beth Phillips Claybrook Physical Therapy Assistant 1801 South 74th St., Fort Smith, AR 72904 2012-09-05
1437408762 Misty Denise Flemming Physical Therapy Assistant 4401 Yorkshire Dr., Fort Smith, AR 72904 2012-08-31
1831473321 Rebecca Lynn Reif Speech-Language Pathologist 5100 Kelley Highway, Fort Smith, AR 72904 2011-10-03
1760542443 Neill Hamilton Treece Dentist 1528 No 39th, Fort Smith, AR 72904 2006-12-11
1285690842 Fort Smith Home Health Agency Inc Home Infusion 220 N 12th Street, Ft Smith, AR 72904 2006-04-24
1437410545 Susan Lynn Mcdaniel Nurse Practitioner 4900 Kelley Hwy, Fort Smith, AR 72904 2012-06-05
1316129711 Denise Valentin Nurse Practitioner 4020 Newlon Rd, Fort Smith, AR 72904-2111 2007-11-28
Find all providers in zip 72904

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508345265 Baptist Health Services Internal Medicine 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 2018-08-13
1760913487 Stratton Reichen Internal Medicine 8820 Royal Ridge Dr, Fort Smith, AR 72903-7034 2017-03-23
1861882003 Frank Ma Internal Medicine 6900 Rye Hill Rd E, Fort Smith, AR 72916-8284 2015-01-26
1992135073 Bindu Repala Internal Medicine 6700 Fallstone Rd, Fort Smith, AR 72916-8958 2013-11-26
1457600405 Vera Batchu Internal Medicine 8518 Gatehouse Way, Fort Smith, AR 72916-6021 2012-09-06
1629332135 Haritha Karuparti Internal Medicine 1500 Dodson Ave Ste 280, Fort Smith, AR 72901-5182 2012-06-28
1841591013 Mary Clare Flanagan Internal Medicine 1611 Rannoch Trce, Fort Smith, AR 72908-8692 2010-11-04
1366671117 Karunakar Akasapu Internal Medicine 1001 Towson Ave Ste 400, Fort Smith, AR 72901-4921 2009-07-14
1306081799 Leslie Thompson Ziegler Internal Medicine 615 N B St, Fort Smith, AR 72901-2125 2008-12-12
1407010952 Margaret V. Cox Internal Medicine 4107 Massard Rd, Fort Smith, AR 72903-6223 2008-07-14
Find all providers in FORT SMITH

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City FORT SMITH
Zip Code 72904

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Dataset Information

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.

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