Fort Smith Regional Dialysis, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FORT SMITH REGIONAL DIALYSIS, LLC

Practice address

319 N 2ND St
Stilwell, OK 74960-2609

Phone

(479) 755-6700

Fax

(479) 755-6704

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Laura Palmer

Title

Executive Director

Phone

(479) 755-6700

Specialties & licenses 1

Addresses

Other names 1

• Stilwell Dialysis Other name

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1821131665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BROOKEN HILL DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088611",
            "telephone_number": "479-755-6700",
            "fax_number": "479-755-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N 2ND ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749602609",
            "telephone_number": "479-755-6700",
            "fax_number": "479-755-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH REGIONAL DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-755-6700"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stilwell Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John A Ferris, M.D.
• Hailey D Fields
• Bobbi Genevieve Fishinghawk, MD
• Travis Fleming, PHARM.D
• Alivia Fletcher, MS
• Karen Fourkiller, M.ED., SLP-CCC
• Marquana Fourkiller, LPN
• Ruth Ann Fourkiller
• Matthew Lynn Freeman, PA
• Jericho Garr

• Nephrology Physician in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.