NPIMap

Individual provider Active NPI

Benton C Loggains, P.A.-C

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1891763165
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA276 Issued in AR
Practice address
3501 W E Knight Drive
Fort Smith, AR 72903
Phone
(479) 709-6700
Fax
(479) 709-6751
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA276 AR Primary

Addresses

Primary practice location

3501 W E Knight Drive
Fort Smith, AR 72903

Mailing address

PO Box 11230
Fort Smith, AR 72917-1230
Phone (479) 709-7000

Other identifiers 1

IdentifierTypeStateIssuer
200022460AOtherAROKLAHOMA MEDICAID

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
I20040323001930 OK Practitioner - Physician Assistant 5698666022 Reassigns benefits to 1 organization
I20060214000407 AR Practitioner - Physician Assistant 5698666022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Stigler Imaging, Infusion and Specialty Center IncGroup PAC ID 1759815095, 2 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

205 N Broadway St
Stigler, OK 74462-2043
Phone (918) 268-3773

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Ozark Hospital, Ozark, AR, CCN 041303
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1303OKMDPediatric Occupational Therapist
PA276ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 29, 2014 Accepting new patients
Mercy Clinic Fort Smith Communities Physician Assistant CurrentSince Feb 1, 2011 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 1, 2011 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients
Wood Family Medicine, P.C. Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

Interoperability endpoints

  • Direct secure messaging: bloggains189653@directb.mercy.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1891763165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11230",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171230",
            "telephone_number": "479-709-7000",
            "fax_number": "479-709-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W E KNIGHT DRIVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-709-6700",
            "fax_number": "479-709-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGGAINS",
        "first_name": "BENTON",
        "middle_name": "C",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAID",
            "identifier": "200022460A",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.