Active NPI
Amanda G. Chisum-Price, MD
- Surgery Physician
- Fort Smith, AR
National Provider Identifier
1407047459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-5310
- Practice address
- 923 Lexington Ave
Fort Smith, AR 72901-4943 - Phone
- (479) 709-7350
- Fax
- (479) 709-7355
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E-5310 | AR | Primary |
Addresses
Primary practice location
923 Lexington Ave
Fort Smith, AR 72901-4943
Mailing address
PO Box 402330
Atlanta, GA 30384-2330
Phone (479) 709-7399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166054001 | Medicaid | AR | |
| 200117300A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
Hospital & facility affiliations
- Choctaw Nation Health Services Authority
- Texoma Medical Center
- Christus St Michael Health System
- Christus Mother Frances Hospital
- Mercy Hospital Fort Smith
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.07 of 100
- Quality
- 73.06
- Improvement activities
- 40
- Cost
- 69.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Fort Smith Hma Physician Management, LLC | Surgery | Past | Accepting new patients |
| Choctaw Nation of Oklahoma | Past | Accepting new patients |
Locations
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Interoperability endpoints
- achisumprice23367@choctawnation.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1740515279
Surgery
-
- Primary Care Clinic/Center
- Broken Bow, OK
- NPI 1770559619
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1407047459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402330",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303842330",
"telephone_number": "479-709-7399",
"fax_number": "479-709-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014943",
"telephone_number": "479-709-7350",
"fax_number": "479-709-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISUM-PRICE",
"first_name": "AMANDA",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-5310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166054001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200117300A",
"state": "OK"
}
],
"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 Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.