SPARKS MEDICAL FOUNDATION (NPI# 1962450007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450007 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATION |
| Other Organization Name | DIAGNOSTIC CENTER AT SPARKS MEDICAL PLAZA-XRAY |
| Practice Address |
1500 Dodson Ave Fort Smith AR 72901-5182 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 4797097404 |
| Practice Fax Number | 4797097418 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097057 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | REBECCA COX (CBO SUPPORT MANAGER) |
| Authorized Official Telephone | 4797097057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0205X |
Radiology Specialization: Radiological Physics |
Allopathic & Osteopathic Physicians | ||
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Diagnostic Center at Sparks Medical Plaza-Xray | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448757 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 S 16th St, Fort Smith, AR 72901-4626 | 2006-09-20 |
| 1174627665 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2006-09-13 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1669576237 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2006-09-12 |
| 1598936460 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-03-18 |
| 1801007372 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 240, Fort Smith, AR 72901-5182 | 2007-05-25 |
| 1871624759 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901 | 2007-03-09 |
| 1144387150 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901-4915 | 2007-01-02 |
| 1043308232 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 180, Fort Smith, AR 72901-5182 | 2006-10-11 |
| 1942397252 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1120 Lexington Ave, Fort Smith, AR 72901-5136 | 2006-10-06 |
| Street Address |
1500 DODSON AVE |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811297690 | Hosea Webster Mcadoo Jr. | Radiology | 3829 Stone Mountain Dr, Sherwood, AR 72120-9713 | 2010-10-27 |
| 1932255486 | Nea Clinic Imaging Center | Radiology | 3100 Apache Dr Ste C1, Jonesboro, AR 72401-7426 | 2007-01-26 |
| 1316970122 | Lance K Runion | Radiology | 4301 W Markham, 783, Little Rock, AR 72205-7101 | 2006-07-08 |
| 1013226869 | Uma Mahesh Matapathi | Radiology | 4301 W Markham St, Uams, Department of Radiology, #556, Little Rock, AR 72205-7101 | 2010-09-28 |
| 1003025594 | Jamie D Ireland | Radiology | 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 | 2007-05-21 |
| 1679657696 | Calvin Bice | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-25 |
| 1679664544 | Manila Bagherzadeh-azar | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1497846364 | Gwendolyn Bryant-smith | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1841398039 | Hemendra R Shah | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-09-20 |
| 1124037536 | B & N Mri Imaging, LLC | Radiology | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on SPARKS MEDICAL FOUNDATION.
| 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.