Organization Active NPI

Ozark Pelvic Health, LLC

  • Gynecology Physician
  • Mountain Home, AR
National Provider Identifier
1598463572
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
OZARK PELVIC HEALTH, LLC
Practice address
19 Medical PLZ Ste 10
Mountain Home, AR 72653-2918
Phone
(870) 232-0948
Fax
(870) 232-0898
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
William Corey Smith, MDNPI 1184063182
Title
Managing Member/Authorized Official
Phone
(870) 232-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X

Addresses

Primary practice location

19 Medical PLZ Ste 10
Mountain Home, AR 72653-2918

Mailing address

19 Medical PLZ Ste 10
Mountain Home, AR 72653-2962
Phone (870) 232-0948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412002573 AR Part B Supplier - Clinic/Group Practice 9133594799 Receives reassigned benefits from 6 practitioners
Practice locations: Mountain Home, AR

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2278522Ozark Pelvic Health, LLC19 Medical Plaza, Mountain Home, AR 72653Provider-performed microscopyMar 19, 2027

National Provider Directory

National Provider Directory

Locations

19 Medical Plz
Mountain Home, AR 72653
Phone (870) 232-0885

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1598463572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532962",
            "telephone_number": "870-232-0948",
            "fax_number": "870-232-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "870-232-0948",
            "fax_number": "870-232-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "MANAGING MEMBER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-232-0948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.