Chansamone Phomakay (NPI# 1477696284, PAC ID# 2567518525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477696284 |
| PAC ID by PECOS | 2567518525 |
| Professional Enrollment ID | I20090917000101 |
| Full Name | Chansamone Phomakay |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Address |
4700 Kelley Hwy Suite A Fort Smith AR 72904-5024 |
| Phone Number | 4795737990 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648514133 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 815 Fort St, Suite A, Barling, AR 72923-2180 | 4794945700 | VALLEY BEHAVIORAL HEALTH SYSTEM LLC |
| 4700 Kelley Hwy, Suite A, Fort Smith, AR 72904-5024 | 4795737990 | BAPTIST HEALTH SERVICES |
| Organization Legal Name | BAPTIST HEALTH SERVICES |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nata T Matthews | Nurse Practitioner | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Daniel Christopher Schroyer | Radiation Oncology | Baptist Health Services | 1502 Dodson Ave, Fort Smith, AR 72901-5128 |
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Kyle B Basham | General Surgery | Baptist Health Services | 5500 Ellsworth Rd, Baptist Health Urology Clinic Fort, Fort Smith, AR 72903-3222 |
| Thanh Le | Family Medicine | Baptist Health Services | 937 Hwy 64 E, Baptist Health Family Clinic Alma, Alma, AR 72921-7382 |
| Monique Thammavong | Nurse Practitioner | Baptist Health Services | 14 Gothic Ridge Rd, Suite B, Van Buren, AR 72956-6565 |
| Charles Moussallem | Nephrology | Baptist Health Services | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 |
| David Miller | Thoracic Surgery | Baptist Health Services | 600 Lexington Ave, Fort Smith, AR 72901-4737 |
| Gary Highfill | Otolaryngology | Baptist Health Services | 520 Towson Ave, Suite A, Fort Smith, AR 72901-4624 |
| Street Address |
4700 KELLEY HWY SUITE A |
| City | FORT SMITH |
| State | AR |
| Zip | 72904-5024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahim Khorassanizadeh | Endocrinology | Fort Smith Hma Pbc Management LLC | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 |
| 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 |
| City | FORT SMITH |
| Zip Code | 72904 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT SMITH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chansamone Phomakay.
| 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.