PREMISE HEALTH OF ARKANSAS MEDICAL P A (NPI# 1376023697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376023697 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF ARKANSAS MEDICAL P A |
| Other Organization Name | PREMISE HEALTH - FORT SMITH EAST |
| Practice Address |
7215 Cameron Park Dr Fort Smith AR 72903-6167 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4794343431 |
| Practice Fax Number | 4794343466 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health - Fort Smith East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1558841239 | Premise Health of Arkansas Medical P A | Clinic/Center | 408 N 8th St Ste A, Rogers, AR 72756-3740 | 2018-08-21 |
| 1245710532 | Premise Health of Arkansas Medical P A | Clinic/Center | 100 Ridgeway St Ste 2, Hot Springs, AR 71901-7155 | 2018-08-16 |
| 1285114793 | Premise Health of Arkansas Medical P A | Clinic/Center | 811 N B St, Fort Smith, AR 72901-2129 | 2018-08-15 |
| 1689154189 | Premise Health of Arkansas Medical P A | Clinic/Center | 4105 Newlon Rd, Fort Smith, AR 72904-2126 | 2018-08-15 |
| 1043790470 | Premise Health of Arkansas Medical P A | Clinic/Center | 5600 Old Greenwood Rd, Fort Smith, AR 72908-6586 | 2018-08-15 |
| 1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
| 1568942977 | Premise Health of Arkansas Medical P A | Clinic/Center | 11215 Hermitage Rd Ste 205, Little Rock, AR 72211-3864 | 2018-08-15 |
| 1255811758 | Premise Health of Arkansas Medical P A | Clinic/Center | 3501 Old Greenwood Rd Ste 10, Fort Smith, AR 72903-5964 | 2018-08-15 |
| 1588173231 | Premise Health of Arkansas Medical P A | Clinic/Center | Highway 205, Highland Industrial Park, Camden, AR 71701-9998 | 2017-09-26 |
| Street Address |
7215 CAMERON PARK DR |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 1285114793 | Premise Health of Arkansas Medical P A | Clinic/Center | 811 N B St, Fort Smith, AR 72901-2129 | 2018-08-15 |
| 1689154189 | Premise Health of Arkansas Medical P A | Clinic/Center | 4105 Newlon Rd, Fort Smith, AR 72904-2126 | 2018-08-15 |
| 1043790470 | Premise Health of Arkansas Medical P A | Clinic/Center | 5600 Old Greenwood Rd, Fort Smith, AR 72908-6586 | 2018-08-15 |
| 1255811758 | Premise Health of Arkansas Medical P A | Clinic/Center | 3501 Old Greenwood Rd Ste 10, Fort Smith, AR 72903-5964 | 2018-08-15 |
| 1932556461 | Wellness and Special Needs Clinic of West Arkansas | Clinic/Center | 8405 S Zero St Ste C, Fort Smith, AR 72903-7050 | 2016-05-13 |
| 1649750985 | Premise Health of Arkansas Medical P A | Clinic/Center | 616 S 17th St, Fort Smith, AR 72901-4700 | 2018-08-16 |
| 1205280021 | Keystone Family Clinic | Clinic/Center | 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916-9117 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134603 | Sheridan Family Clinic, Pllc | Clinic/Center | 109 W Pine St Ste A, Sheridan, AR 72150-2443 | 2020-11-03 |
| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1033773932 | Arcare | Clinic/Center | 1801 Central Ave Ste F, Hot Springs, AR 71901-6800 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on PREMISE HEALTH OF ARKANSAS MEDICAL P A.
| 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.