Phoenix Health Associates of Fort Smith

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR4378 Issued in AR

Legal business name

PHOENIX HEALTH ASSOCIATES OF FORT SMITH

Doing business as

Physicians' Day Surgery Center

Practice address

3601 W E Knight Drive
Fort Smith, AR 72903

Phone

(479) 709-7272

NPI assigned

Nov 28, 2006

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith J Bolyard, M. D.

Title

Chairman, Governing Body

Phone

(479) 709-7272

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Physicians' Day Surgery Center Doing business as

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.

• Anthony L Capocelli Jr., M.D.

  • Neurological Surgery Physician
  • Little Rock, AR
  • NPI 1871561167
  NPD (past)
• Joseph Henry Kent, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Smith, AR
  • NPI 1912003260
  NPD (past)
• Rodney D Steward, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Fort Smith, AR
  • NPI 1407818537
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1851467831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10626",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170626",
            "telephone_number": "479-709-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W E KNIGHT DRIVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-709-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH ASSOCIATES OF FORT SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BOLYARD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "479-709-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200107730A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163231128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians' Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Charlotte Phillips, RPH
• Sumer A Phillips, MD
• Tonya L Phillips, MD
• Tanner Philpot, MHPP/QBHP
• Phoenix Anesthesia PA
• Phoenix Mobile Physical Therapy LLC
• Chansamone M Phomakay, MD
• Von Phomakay, DO
• Alisa Phommavong
• Cherrie Phouthavong

• Ambulatory Surgical Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.