Organization Active NPI

Commonwell Clinic, P.a.

  • Internal Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1407459290
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMONWELL CLINIC, P.A.
Practice address
1501 S Waldron Rd Ste 200
Fort Smith, AR 72903-2565
Phone
(479) 388-0400
Fax
(479) 388-0401
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Rowland Stewart, MD
Title
President
Phone
(479) 388-0400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1501 S Waldron Rd Ste 200
Fort Smith, AR 72903-2565

Mailing address

1501 S Waldron Rd Ste 201
Fort Smith, AR 72903-2565
Phone (479) 388-0400

Other practice location 1

1501 S Waldron Rd Ste 201
Fort Smith, AR 72903-2565
Phone (479) 388-0400

National Provider Directory

National Provider Directory

Locations

1501 S Waldron Rd
Ste 201
Fort Smith, AR 72903
Phone (479) 388-0400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24033/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1407459290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S WALDRON RD STE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032565",
            "telephone_number": "479-388-0400",
            "fax_number": "479-388-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S WALDRON RD STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032565",
            "telephone_number": "479-388-0400",
            "fax_number": "479-388-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Waldron Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729032565",
            "country_code": "US",
            "telephone_number": "479-388-0400",
            "fax_number": "479-388-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMONWELL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROWLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-388-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 16, 2020; 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.