Active NPI
Kathleen Suzan Street, D.O.
- Obstetrics & Gynecology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E-9166
- Practice address
- 7001 Rogers Ave Ste 502
Fort Smith, AR 72903-4041 - Phone
- (479) 484-5901
- Fax
- (479) 484-0778
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E-9166 | AR | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | T-2492 | MS |
Addresses
Primary practice location
7001 Rogers Ave Ste 502
Fort Smith, AR 72903-4041
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (479) 484-5901
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5339
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7001 Rogers Ave
FL 5
Fort Smith, AR 72903-4073
Phone (479) 314-7490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2492 | MS | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Fort Smith | Past | Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7001 Rogers Ave
Ste 502
Fort Smith, AR 72903
Phone (479) 484-5901
7001 Rogers Ave
Fl 5
Fort Smith, AR 72903
Phone (479) 314-7490
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1871880278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "479-484-5901",
"fax_number": "479-484-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 ROGERS AVE STE 502",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034041",
"telephone_number": "479-484-5901",
"fax_number": "479-484-0778"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STREET",
"first_name": "KATHLEEN",
"middle_name": "SUZAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-9166",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "T-2492",
"primary": false
}
],
"identifiers": [],
"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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.