NPIMap

Individual provider Active NPI

Rodney K McDonald, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1811945983
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2441 Issued in AR
Practice address
616 S 17TH St
Fort Smith, AR 72901-4700
Phone
(479) 434-3333
Fax
(479) 434-3535
NPI assigned
May 4, 2006
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2441 AR Primary

Addresses

Primary practice location

616 S 17TH St
Fort Smith, AR 72901-4700

Mailing address

616 S 17TH St
Fort Smith, AR 72901-4700
Phone (479) 434-3333

Other identifiers 2

IdentifierTypeStateIssuer
100052490AMedicaidOK
142890001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200811000795 OK Practitioner - Family Practice 8820985302 Reassigns benefits to 1 organization
I20221109002392 AR Practitioner - General Practice 8820985302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Integrity Arkansas, PAGroup PAC ID 5496161945, 9 clinicians

Practice addresses (Care Compare)

13501 Chenal Pkwy
Suite 101
Little Rock, AR 72211-5262
Phone (501) 251-1733

1505 E Main St
Stigler, OK 74462-2914
Phone (800) 640-9741

1630 S Kerr Blvd
Sallisaw, OK 74955-7240
Phone (800) 640-9741

212 W Spaulding
Checotah, OK 74426-3806
Phone (800) 640-9741

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2441ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stigler Health and Wellness Center Inc CurrentSince Jul 13, 2020 Accepting new patients
Cooper Clinic PA Past Accepting new patients
WH Ar Medical PLLC Family Medicine Past Accepting new patients
Fort Smith Hma, LLC Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients
Sparks Regional Medical Center Past Accepting new patients

Locations

1630 S Kerr Blvd
Sallisaw, OK 74955
Phone (918) 790-2653

1505 E Main St
Stigler, OK 74462
Phone (800) 640-9741

802 Highway 2 N
Wilburton, OK 74578
Phone (918) 465-0005

Interoperability endpoints

  • Direct secure messaging: rmcdonald721280@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1811945983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S 17TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014700",
            "telephone_number": "479-434-3333",
            "fax_number": "479-434-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S 17TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014700",
            "telephone_number": "479-434-3333",
            "fax_number": "479-434-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RODNEY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052490A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142890001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.