Rahim Khorassanizadeh
FORT SMITH HMA PBC MANAGEMENT LLC


Address: 4700 Kelley Hwy, Fort Smith, AR 72904-5024
Phone: 4795737990

Rahim Khorassanizadeh (NPI# 1790097129, PAC ID# 1850691569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.

Physician Overview

Nation Provider ID (NPI) 1790097129
PAC ID by PECOS 1850691569
Professional Enrollment ID I20151202002204
Full Name Rahim Khorassanizadeh
Organization Legal Name FORT SMITH HMA PBC MANAGEMENT LLC
Address 4700 Kelley Hwy
Fort Smith
AR 72904-5024
Phone Number 4795737990
Gender M
Graduation Year 2010
Primary Specialty ENDOCRINOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 8224172127
Number of Group Practice Members 90
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040055 SPARKS REGIONAL MEDICAL CENTER
040018 SPARKS MEDICAL CENTER VAN BUREN

Other Locations

Address Phone Organization
4700 Kelley Hwy, Fort Smith, AR 72904-5024 4795737990 FORT SMITH HMA PBC MANAGEMENT LLC

Organization Information

Organization Legal Name FORT SMITH HMA PBC MANAGEMENT LLC
Physicians 14

Physicians with the same organization

Name Specialty Organization Address
Tracy Kay Fiser Nurse Practitioner Fort Smith Hma Pbc Management LLC 1200 Central St, Poteau, OK 74953-2320
Allyson Moulton General Surgery Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
Wilson Cruz-leal Family Practice Fort Smith Hma Pbc Management LLC 1500 Dodson Ave, Fort Smith, AR 72901-5182
Chasidy A Mcallister Nurse Practitioner Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
Elizabeth Clark Nurse Practitioner Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
John L Lange Urology Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
Robin G Smith Radiation Oncology Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
Lisa K Mcgraw Family Practice Fort Smith Hma Pbc Management LLC 1500 Dodson Ave, Fort Smith, AR 72901-5182
Roy Eugene Russell Jr. Family Practice Fort Smith Hma Pbc Management LLC 1001 Towson Ave, Fort Smith, AR 72901-4921
Vijay Kannam Family Practice Fort Smith Hma Pbc Management LLC 1500 Dodson Ave, Fort Smith, AR 72901-5182

Office Location

Street Address 4700 KELLEY HWY
City FORT SMITH
State AR
Zip 72904-5024

Physicians in the same location

Name Specialty Organization Address
Chansamone Phomakay Family Medicine Baptist Health Services 4700 Kelley Hwy, Suite A, Fort Smith, AR 72904-5024

Physicians in the same zip code

Name Specialty Organization Address
Marie Pham-russell Nurse Practitioner River Valley Primary Care Services 3202 N 6th St, Fort Smith, AR 72904-4164
Wanda Mcmicheal Family Medicine River Valley Primary Care Services 3202 N 6th St, Fort Smith, AR 72904-4164
Dana Kim Pulliam Nurse Practitioner River Valley Primary Care Services 3202 N 6th St, Fort Smith, AR 72904-4164
Lisa A Toth Nurse Practitioner River Valley Primary Care Services 3202 N 6th St, Fort Smith, AR 72904-4164
Laura Ann Henson Nurse Practitioner River Valley Primary Care Services, Inc 3202 N 6th St, Fort Smith, AR 72904-4164
Ronald D. Schlabach Family Medicine River Valley Primary Care Services 4900 Kelley Hwy, Fort Smith, AR 72904-5000

Competitor

Search similar physicians

City FORT SMITH
Zip Code 72904
Specialty ENDOCRINOLOGY
City + Specialty FORT SMITH + ENDOCRINOLOGY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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