DR. DONNA BERRYMAN BEALLIS (NPI# 1669423125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669423125 |
| Entity Type | Individual |
| Full Name | DR. DONNA BERRYMAN BEALLIS |
| Credential | DO |
| Practice Address |
1401 S J St Fort Smith AR 72901-5158 |
| Mailing Address |
Po Box 11134 Fort Smith AR 72917-1134 |
| Practice Telephone | 4797825500 |
| Practice Fax Number | 4797825502 |
| Mailing Telephone | 4798060647 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E-5626 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200199440A | 05 | |
| AR | ABCBS | 5H231 | 01 |
| AR | 171849003 | 05 |
| Street Address |
1401 S J ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142342 | Encompass Health Rehabilitation Hospital of Fort Smith, LLC | Rehabilitation Hospital | 1401 S J St, Fort Smith, AR 72901-5158 | 2006-02-12 |
| 1285255257 | Michael Osterbur | Physical Therapist | 1401 S J St, Fort Smith, AR 72901-5158 | 2020-04-30 |
| 1003215351 | Tracy Lynn Turman | Physical Therapist | 1401 S J St, Fort Smith, AR 72901-5158 | 2014-08-21 |
| 1851671333 | Laura Shaikh Md Pa | Physical Medicine & Rehabilitation | 1401 S J St, Fort Smith, AR 72901-5158 | 2011-08-28 |
| 1184951998 | Donna Beallis D.o. P.a. | Family Medicine | 1401 S J St, Fort Smith, AR 72901-5158 | 2009-11-16 |
| 1285836577 | Carolyn Sue Slote | Specialist | 1401 S J St, Fort Smith, AR 72901-5158 | 2007-05-31 |
| 1679585848 | Cygnet Schroeder Do Pa | Rehabilitation Practitioner | 1401 S J St, Fort Smith, AR 72901-5158 | 2006-08-13 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1184951998 | Donna Beallis D.o. P.a. | Family Medicine | 1401 S J St, Fort Smith, AR 72901-5158 | 2009-11-16 |
| 1447483185 | Randy S.beallis D.o. P.a. | Family Medicine | 4500 Old Greenwood Rd, Fort Smith, AR 72903-6417 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| 1336247501 | Scott Jason Darby | Family Medicine | 4300 W 7th St # 11c, Little Rock, AR 72205-5446 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on DR. DONNA BERRYMAN BEALLIS.
| 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.