Organization Active NPI

Fort Smith Rheumatology

  • Family Medicine Physician
  • Roland, OK
National Provider Identifier
1144754797
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORT SMITH RHEUMATOLOGY
Practice address
508 W Ray Fine Blvd
Roland, OK 74954-5262
Phone
(479) 806-8538
NPI assigned
Apr 19, 2017
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Karen Hart
Title
Office Manager
Phone
(479) 755-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

508 W Ray Fine Blvd
Roland, OK 74954-5262

Mailing address

1501 S Waldron Rd Ste 202
Fort Smith, AR 72903-2598
Phone (479) 755-6900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1144754797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S WALDRON RD STE 202",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032598",
            "telephone_number": "479-755-6900",
            "fax_number": "479-755-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W RAY FINE BLVD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545262",
            "telephone_number": "479-806-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-755-6900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.