PREMISE HEALTH OF ARKANSAS MEDICAL P A (NPI# 1689154189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689154189 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF ARKANSAS MEDICAL P A |
| Other Organization Name | PREMISE HEALTH - OK FOODS |
| Practice Address |
4105 Newlon Rd Fort Smith AR 72904-2126 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4799741270 |
| Practice Fax Number | 4794946364 |
| Enumeration Date | 2018-08-15 |
| 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 - OK Foods | 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 |
| 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 |
| 1225202518 | Premise Health of Arkansas Medical P A | General Practice | 555 Mckee Dr, Gentry, AR 72734-8761 | 2008-04-17 |
| Street Address |
4105 NEWLON RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-2126 |
| 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 | 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 |
| 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 |
| 1376023697 | Premise Health of Arkansas Medical P A | Clinic/Center | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2018-08-16 |
| 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 | 72904 |
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.