DR. RANDOLPH P FLECK (NPI# 1952333403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952333403 |
Entity Type | Individual |
Full Name | DR. RANDOLPH P FLECK |
Credential | MD |
Practice Address |
6801 Rogers Ave Fort Smith AR 72903-4067 |
Mailing Address |
Po Box 3528 Fort Smith AR 72913-3528 |
Practice Telephone | 4792744700 |
Practice Fax Number | 4792744799 |
Mailing Telephone | 4792742000 |
Mailing Fax Number | 4792742194 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2015-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
N-8317 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE | 060017497 | 01 | |
AR | 122170001 | 05 |
Street Address |
6801 ROGERS AVE |
City | FORT SMITH |
State | AR |
Zip Code | 72903-4067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649277401 | Frederick B Niegos | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2005-07-07 |
1760949887 | Rachel Elise Jones | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2019-02-25 |
1720592223 | Mercy Clinic Fort Smith Communities | Durable Medical Equipment & Medical Supplies | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2017-11-21 |
1588117519 | Cooper Clinic Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
1427501451 | Yong Ounpraseuth | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2016-07-26 |
1386011211 | Cooper Clinic, Pa | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-26 |
1518333988 | Gary Widner | Physical Therapist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-19 |
1699151209 | Jason Johnson | Audiologist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-08-05 |
1316336761 | Cooper Clinic, Pa | Pharmacist | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2015-01-22 |
1386042927 | Mandy Lee Fluitt | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2014-12-14 |
Find all providers in the same location |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
1730332008 | Taylor Archie Prewitt | Internal Medicine | 8311 Mile Tree Dr, Fort Smith, AR 72903-4318 | 2008-10-29 |
1144224635 | Andre J. Nolewajka, Md, Pa | Internal Medicine | 2713 S 74th St, Ste 401, Fort Smith, AR 72903-5173 | 2005-06-13 |
1699779314 | Julio F Schwarz | Internal Medicine | 6101 Phoenix Ave, Con/arc Place #3, Fort Smith, AR 72903-5083 | 2005-06-09 |
1386185171 | Dario M Espina Md Pa | Internal Medicine | 4200 Jenny Lind Rd, Suite G, Fort Smith, AR 72901-7632 | 2017-03-14 |
1619318029 | Aswini Kumar | Internal Medicine | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2013-07-14 |
1689965394 | Ft Smith Hma Pbc Management, LLC | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
1568620540 | Jeffry S Blackwell | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2008-05-27 |
1881603272 | Timothy C Waack | Internal Medicine | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-08-05 |
1700895497 | Donald E Shows | Internal Medicine | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2006-08-05 |
Find all providers in FORT SMITH |
City | FORT SMITH |
Zip Code | 72903 |
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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.