Arkansas Lung Center PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ARKANSAS LUNG CENTER PLLC

Practice address

4300 Grand Ave
Fort Smith, AR 72904-7028

Phone

(479) 208-4601

Fax

(833) 764-3814

NPI assigned

Sep 7, 2023

Last updated

Aug 4, 2026By 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

Dr. Adebayo Fasanya, MDNPI 1508111212

Title

Owner

Phone

(479) 208-4601

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIBDDD

Practitioners 5

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.

• Adebayo Ayodeji Fasanya, M.D.

  • Pulmonary Disease Physician
  • Fort Smith, AR
  • NPI 1508111212

  Critical Care Medicine, OK

  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie R Marcom, FNP-C

  • Family Nurse Practitioner
  • Alma, AR
  • NPI 1730944679

  OK

  Medicare reassignment Care Compare group NPD
• Stephanie Nicole Parish

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1447951439
  Medicare reassignment Care Compare group NPD
• Soutnakhon Phandanouvong, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1780273250

  OK

  Medicare reassignment Care Compare group NPD
• Chansamorn Morn Nouansavane, MD

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1811098403
  Medicare reassignment

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1447036108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047028",
            "telephone_number": "479-208-4601",
            "fax_number": "833-764-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047028",
            "telephone_number": "479-208-4601",
            "fax_number": "833-764-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 E Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "Sallisaw",
            "state": "OK",
            "postal_code": "749552811",
            "country_code": "US",
            "telephone_number": "479-208-4601",
            "fax_number": "833-764-3814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013508",
            "country_code": "US",
            "telephone_number": "479-310-9400",
            "fax_number": "833-764-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS LUNG CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "FASANYA",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-208-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas Liver and Gastroenterology
• Arkansas Liver and Gastroenterology (Southside Specialty pharmacy)
• Arkansas Liver and Gastroenterology PA
• Arkansas Liver and Gastroenterology PA
• Arkansas Liver and Gastroenterology, PA (Southside Specialty Pharmacy)
• Arkansas Oral & Facial Surgery Center Fort Smith PLLC
• Arkansas Oral & Facial Surgery Center Fort Smith PLLC
• Arkansas Orthodontic Specialist Inc (Whitlock Orthodontics of Fort Smith)
• Arkansas Pain and Wellness, LLC
• Arkansas Post Discharge Services, PLLC

• Multi-Specialty Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.