FORT SMITH HMA PBC MANAGEMENT, LLC (NPI# 1366797060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366797060 |
| Entity Type | Organization |
| Organization Name | FORT SMITH HMA PBC MANAGEMENT, LLC |
| Other Organization Name | SPARKS THYROID & ENDOCRINOLOGY CENTER |
| Practice Address |
4700 Kelley Hwy Fort Smith AR 72904-5024 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 4797097490 |
| Practice Fax Number | 4795737991 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sparks Thyroid & Endocrinology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306269006 | Fort Smith Hma Pbc Management, LLC | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904-5024 | 2014-01-31 |
| 1306198494 | Fort Smith Hma Pbc Management, LLC | Family Medicine | 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903-4164 | 2012-10-12 |
| 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 |
| Street Address |
4700 KELLEY HWY |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669576237 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2006-09-12 |
| 1306363908 | Kevin Blake Metcalf | Dietitian, Registered | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2017-08-24 |
| 1053601476 | Ft Smith Hma Pbc Management, LLC | Family Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2011-04-19 |
| 1790097129 | Rahim Khorassanizadeh | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2010-07-14 |
| 1467610758 | Nuttha Ungnapatanin | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2008-05-23 |
| 1477696284 | Chansamone M Phomakay | Family Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2007-02-14 |
| 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 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| Find all providers in zip 72904 | ||||
| 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 |
| 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 |
| 1043400104 | Ongkarn Sarasombath | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-07-25 |
| 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 | 72904 |
Please comment or provide details below to improve the information on FORT SMITH HMA PBC MANAGEMENT, 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.