Active NPI
Geoffrey L Paddack, M.D.
- Diagnostic Radiology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-8015
- Practice address
- 5707 Jenny Lind Rd
Fort Smith, AR 72908-7435 - Phone
- (479) 452-9416
- Fax
- (479) 484-0827
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Diagnostic Radiology Physician | 2085R0202X | E-8015 | AR | Primary |
Addresses
Primary practice location
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Mailing address
PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Interventional Radiology
- Education
- University of Oklahoma College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Waldron Rd
Suite 109
Fort Smith, AR 72903-2568
Phone (479) 474-1616
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416
Hospital & facility affiliations
- Mercy Hospital Fort Smith
- Mercy Hospital Paris
- Mercy Hospital Booneville
- Mercy Hospital Waldron
- Mercy Hospital Ozark
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.96 of 100
- Quality
- 99.75
- Improvement activities
- 40
- Cost
- 70.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8015 | AR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists PA | Diagnostic Radiology | Current | Accepting new patients |
| Allrad PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Services P a | Diagnostic Radiology | Current | Accepting new patients |
| Prime Medical Imaging, a Division of Radiologists, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
2322 S 57th St
Fort Smith, AR 72903
Phone (479) 314-6303
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616
3206 4th St
Longview, TX 75605
Phone (903) 663-7393
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.
-
- Diagnostic Radiology Physician
- Fort Smith, AR
- NPI 1780651117
-
- Diagnostic Radiology Physician
- Ft Smith, AR
- NPI 1154301786
-
- Diagnostic Radiology Physician
- Ponca City, OK
- NPI 1821341884
-
- Medical Specialty Clinic/Center
- Van Buren, AR
- NPI 1952318099
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
-
- Critical Access Hospital
- Waldron, AR
- NPI 1912978875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1609194455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3887",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729133887",
"telephone_number": "479-452-9416",
"fax_number": "479-484-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729087435",
"telephone_number": "479-452-9416",
"fax_number": "479-484-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADDACK",
"first_name": "GEOFFREY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-8015",
"primary": true
}
],
"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 Apr 30, 2019; 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.