Ft Smith Rheumatology PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FT SMITH RHEUMATOLOGY PC

Practice address

3501 W.E. Knight Dr
Fort Smith, AR 72903-6248

Phone

(479) 573-7800

Fax

(479) 709-7238

NPI assigned

Oct 16, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Russell B Branum, MDNPI 1629065685

Title

Physician

Phone

(479) 573-7800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell B Branum, MD

  • Rheumatology Physician
  • Fort Smith, AR
  • NPI 1629065685
  Medicare reassignment NPD Authorized official
• Jennifer Leann Jay, APRN, FNP-BC

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1477183176
  Medicare reassignment NPD
• Karen Lynn Williams, NP

  • Family Nurse Practitioner
  • Poteau, OK
  • NPI 1972959625

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285823229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11436",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171436",
            "telephone_number": "479-573-7800",
            "fax_number": "479-709-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W.E. KNIGHT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036248",
            "telephone_number": "479-573-7800",
            "fax_number": "479-709-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT SMITH RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRANUM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-573-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162999002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146912001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ft Smith Hma Physician Management, LLC (Sparks Occupational Medicine South)
• Ft Smith Hma Physician Management, LLC (Heart & Vascular Services)
• Ft Smith Hma Physician Management, LLC (The Women's Group)
• Ft Smith Hma Physician Management, LLC (Gastroenterology Center)
• Ft Smith Hma Physician Management, LLC (Sparks Center for Infectious Disease)
• Ft. Smith Hma PBC Management, LLC (Southpointe Family Practice)
• Essence Fuhr
• Moneka Daniell Fulbright-Williams, MHPP
• Damion Fulbright, MHPP
• Darlene Fuller, MHPP

• Specialist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Specialist in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.