Fort Smith Hma PBC Management, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FORT SMITH HMA PBC MANAGEMENT, LLC

Practice address

1001 Towson Ave
Fort Smith, AR 72901-4921

Phone

(479) 709-7399

Fax

(479) 709-7053

NPI assigned

Oct 16, 2009

Last updated

Jan 27, 2016By 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. James P Wright

Title

Senior Director

Phone

(615) 465-7587

Specialties & licenses 15

Addresses

Locations (25 of 26)

Practitioners 13

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.

• Jamie L Cagle, APRN

  • Primary Care Nurse Practitioner
  • Fort Smith, AR
  • NPI 1720611361
  NPD
• Rudhir Tandon, MD

  • Interventional Cardiology Physician
  • Fort Smith, AR
  • NPI 1245486547

  Internal Medicine

  NPD
• Anish George Mammen, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1053574277
  NPD
• Shekhar S. Pai, M.D.

  • Internal Medicine Physician
  • Eureka, CA
  • NPI 1134488026
  NPD
• Randall L Carson, MD

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1669469508
  NPD (past)
• Tracy R Harwood, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1790926475
  NPD (past)
• Carol A Martin, RNP

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1245227362
  NPD (past)
• Steven Paul Nelson, MSW, LCSW

  • Clinical Social Worker
  • Ozark, AR
  • NPI 1023198702
  NPD (past)
• Marilyn C Pennington, LCSW

  • Clinical Social Worker
  • Fort Smith, AR
  • NPI 1386810448
  NPD (past)
• Roger D Scow Jr., MD

  • Obstetrics & Gynecology Physician
  • Magnolia, AR
  • NPI 1609862838
  NPD (past)
• Eugene Fontaine Still II, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Fort Smith, AR
  • NPI 1346570272
  NPD (past)
• Ashley Mohadjer, D.O.

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1659767820

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1477888907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8000",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH HMA PBC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-465-7587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Smith Hma PBC Management, LLC (Sparks Available Medical Care)
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• Fort Smith Hma PBC Management, LLC (Sparks Thyroid & Endocrinology Center)
• Fort Smith Hma PBC Management, LLC (Adult Medicine Specialists)
• Fort Smith Hma PBC Management, LLC (Sparks Radiation Oncology)
• Fort Smith Hma PBC Management, LLC (Adult Medicine Specialists)
• Fort Smith Hma PBC Management, LLC (Ft Smith Wound Healing & Hyperbaric Center)
• Fort Smith Hma Physician Management, LLC (Sparks Cardiothoracic and Vascular Surgery)
• Fort Smith Hma Physician Management, LLC (Sparks Neurosurgical Associates)
• Fort Smith Hma Physician Management, LLC

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.