NPIMap

Organization Active NPI

Healthmax Center LLC

  • General Practice Physician
  • Fort Smith, AR
National Provider Identifier
1003360082
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N-5521 Issued in AR
Legal business name
HEALTHMAX CENTER LLC
Practice address
12300 Highway 71 S
Suite a
Fort Smith, AR 72916-9133
Phone
(479) 755-6595
Fax
(479) 755-6596
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry Pitchford
Title
Owner
Phone
(479) 755-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X N-5521 AR Primary

Addresses

Primary practice location

12300 Highway 71 S
Suite a
Fort Smith, AR 72916-9133

Mailing address

12300 Highway 71 S
Suite a
Fort Smith, AR 72916-9133
Phone (479) 755-6595

National Provider Directory

National Provider Directory

Locations

12300 Highway 71 S
Ste A
Fort Smith, AR 72916
Phone (479) 755-6595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003360082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 HIGHWAY 71 S",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169133",
            "telephone_number": "479-755-6595",
            "fax_number": "479-755-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 HIGHWAY 71 S",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169133",
            "telephone_number": "479-755-6595",
            "fax_number": "479-755-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMAX CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PITCHFORD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-755-6595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "N-5521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.