Wellness and Special Needs Clinic of West Arkansas

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E-3378 Issued in AR

Legal business name

WELLNESS AND SPECIAL NEEDS CLINIC OF WEST ARKANSAS

Practice address

8405 S Zero St Ste C
Fort Smith, AR 72903-7050

Phone

(479) 883-0240

Fax

(479) 782-3974

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Gregory Gibbons, MDNPI 1053308874

Title

Owner

Phone

(479) 883-0240

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Gregory Gibbons, MD

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1053308874
  NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1932556461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 S ZERO ST STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729037050",
            "telephone_number": "479-883-0240",
            "fax_number": "479-782-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 S ZERO ST STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729037050",
            "telephone_number": "479-883-0240",
            "fax_number": "479-782-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND SPECIAL NEEDS CLINIC OF WEST ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-883-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "E-3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Weisse, MD PH D
• Abigail Welborn, QBHP
• Alice A Welch, ANP
• Sydney Welch
• Well Life Family Medicine Inc
• Cheryl Wells
• John D Wells, MD
• Karrie Camille Wells, CRNA
• Lanie Wells
• Edward C Wemmerus, ARNP, CN-P

• Primary Care Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.