JOHN L KIENTZ (NPI# 1568450393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568450393 |
| Entity Type | Individual |
| Full Name | JOHN L KIENTZ |
| Credential | MD |
| Practice Address |
1500 Dodson Ave Ste 180 Fort Smith AR 72901-5182 |
| Mailing Address |
Po Box 11449 Belfast ME 04915-4005 |
| Practice Telephone | 4797097445 |
| Practice Fax Number | 4795737849 |
| Mailing Telephone | 4797097445 |
| Mailing Fax Number | 4795737849 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C4888 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100076220A | 05 | |
| AR | 105772001 | 05 |
| Street Address |
1500 DODSON AVE STE 180 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548485 | Nabil Akkad | Surgery | 1500 Dodson Ave, Ste 250, Fort Smith, AR 72901-5182 | 2005-09-15 |
| 1518439462 | Paul W Dobbs | Nurse Practitioner | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2018-12-17 |
| 1265986913 | Lisa Deniece Coker | Nurse Practitioner | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2016-08-11 |
| 1720445661 | Joshua Casey | Nurse Anesthetist, Certified Registered | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2016-01-22 |
| 1285003509 | Heather Manchester | Clinical Nurse Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-16 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1730579152 | Elizabeth Ann Clark | Nurse Practitioner | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 | 2015-01-24 |
| 1851714562 | Stacia Wehunt | Nurse Practitioner | 1500 Dodson Ave, Suite 250, Fort Smith, AR 72901-5182 | 2014-01-31 |
| 1447590864 | Brittney Renae Sivils | Nurse Practitioner | 1500 Dodson Ave, Ste 60, Fort Smith, AR 72901-5182 | 2013-02-21 |
| 1669735759 | Kurt Ehlert, Md, P.a. | Orthopaedic Surgery | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 |
| 1306269006 | Fort Smith Hma Pbc Management, LLC | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904-5024 | 2014-01-31 |
| 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 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.