NPIMap

Individual provider Active NPI

Arnold Bouchard Smith, MD

  • Radiation Oncology Physician
  • Fayetteville, AR
National Provider Identifier
1346213311
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E3674 Issued in AR
Practice address
60 E Monte Painter Dr
Fayetteville, AR 72703-4014
Phone
(479) 361-2585
Fax
(479) 571-1986
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X E3674 AR Primary

Addresses

Primary practice location

60 E Monte Painter Dr
Fayetteville, AR 72703-4014

Mailing address

3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 587-1700

Other identifiers 3

IdentifierTypeStateIssuer
1346213311MedicaidMO
150258001MedicaidAR
200135910 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000699 AR Practitioner - Radiation Oncology 9739074931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 N Main St
Suite 2B
Harrison, AR 72601-2911
Phone (870) 414-4000

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3674ARMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 21, 2021 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Apr 25, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 21, 2021 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Apr 25, 2020 Accepting new patients
Northwest Arkansas Radiation Therapy Institute Past Accepting new patients
Ozark Radiation Oncology Radiation Oncology Past Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1346213311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MONTE PAINTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034014",
            "telephone_number": "479-361-2585",
            "fax_number": "479-571-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARNOLD",
        "middle_name": "BOUCHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E3674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346213311",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150258001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200135910 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.