Individual provider Active NPI

Norma Smith, M.D.

  • Gynecology Physician
  • Fort Smith, AR
National Provider Identifier
1801854062
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E1935 Issued in AR
Practice address
8101 McClure Dr Ste 101
Fort Smith, AR 72916-6040
Phone
(479) 484-7100
Fax
(479) 478-7255
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X E1935 AR
Gynecology Physician 207VG0400X E1935 AR Primary

Addresses

Primary practice location

8101 McClure Dr Ste 101
Fort Smith, AR 72916-6040

Mailing address

PO Box 11708
Fort Smith, AR 72917-1708
Phone (479) 484-7100

Other practice location 1

2713 S 74th St
Suite 204
Fort Smith, AR 72903
Phone (479) 484-7100

Other identifiers 1

IdentifierTypeStateIssuer
5L009OtherARBCBS

Other names 1

  • Dr. Norma Smith Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000445 AR Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 0446201370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8101 McClure Dr
Suite 101
Fort Smith, AR 72916-6044
Phone (479) 484-7100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1935ARMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norma Smith MD PA CurrentSince Jan 3, 2011 Accepting new patients

Locations

8101 McClure Dr
Ste 101
Fort Smith, AR 72916
Phone (479) 484-7100

2713 S 74th St
Ste 204
Fort Smith, AR 72903
Phone (479) 274-3600

Interoperability endpoints

  • Direct secure messaging: eastsidehealthandgynecology.normabasinger@119650.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1801854062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11708",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171708",
            "telephone_number": "479-484-7100",
            "fax_number": "479-478-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 101",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166040",
            "telephone_number": "479-484-7100",
            "fax_number": "479-478-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2713 S 74th St",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "72903",
            "country_code": "US",
            "telephone_number": "479-484-7100",
            "fax_number": "479-478-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NORMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AR",
            "license": "E1935",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "E1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5L009",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "SMITH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.