NPIMap

Organization Active NPI

Advanced Interventional Pain and Diagnostics of Western Arkansas, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Fort Smith, AR
National Provider Identifier
1831142876
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC
Practice address
7303 Rogers Ave
Suite 100
Fort Smith, AR 72903-4106
Phone
(479) 452-0882
Fax
(479) 314-5698
NPI assigned
May 19, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
John R Swicegood, MD, FIPPNPI 1831151703
Title
Owner
Phone
(479) 452-0882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7303 Rogers Ave
Suite 100
Fort Smith, AR 72903-4106

Mailing address

7303 Rogers Ave
Suite 100
Fort Smith, AR 72903-4106
Phone (479) 452-0882

Other identifiers 1

IdentifierTypeStateIssuer
164190002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1831142876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE",
            "address_2": "SUITE 100",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034106",
            "telephone_number": "479-452-0882",
            "fax_number": "479-314-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE",
            "address_2": "SUITE 100",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034106",
            "telephone_number": "479-452-0882",
            "fax_number": "479-314-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SWICEGOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-452-0882",
        "authorized_official_credential": "MD, FIPP"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164190002",
            "state": "AR"
        }
    ],
    "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 Sep 19, 2007; 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.