FT SMITH HMA PBC MANAGEMENT, LLC (NPI# 1053601476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053601476 |
| Entity Type | Organization |
| Organization Name | FT SMITH HMA PBC MANAGEMENT, LLC |
| Other Organization Name | SPARKS CLINIC FAMILY PRACTICE |
| Practice Address |
4700 Kelley Hwy Fort Smith AR 72904-5024 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 4795737990 |
| Practice Fax Number | 4795737991 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sparks Clinic Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215228929 | Ft Smith Hma Pbc Management, LLC | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
| 1457642167 | Ft Smith Hma Pbc Management, LLC | Family Medicine | 209 Pointer Trl W, Van Buren, AR 72956-2238 | 2011-04-28 |
| 1659662369 | Ft Smith Hma Pbc Management, LLC | Psychiatry & Neurology | 408 S 16th St, Fort Smith, AR 72901-4626 | 2011-04-28 |
| 1811288525 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 702 W Broadway St, Spiro, OK 74959-2430 | 2011-04-28 |
| 1649561358 | Ft Smith Hma Pbc Management, LLC | Internal Medicine | 1500 Dodson Ave, Suite 195, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1093006702 | Ft Smith Hma Pbc Management, LLC | Social Worker | 1500 Dodson Ave, Suite 125, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1720379431 | Ft Smith Hma Pbc Management, LLC | Surgery | 923 Lexington Ave, Fort Smith, AR 72901-4943 | 2011-04-28 |
| 1013208727 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
| 1831480540 | Ft Smith Hma Pbc Management, LLC | Nurse Practitioner | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1689965394 | Ft Smith Hma Pbc Management, LLC | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
| Street Address |
4700 KELLEY HWY |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669576237 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2006-09-12 |
| 1306363908 | Kevin Blake Metcalf | Dietitian, Registered | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2017-08-24 |
| 1366797060 | Fort Smith Hma Pbc Management, LLC | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2012-07-18 |
| 1790097129 | Rahim Khorassanizadeh | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2010-07-14 |
| 1467610758 | Nuttha Ungnapatanin | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2008-05-23 |
| 1477696284 | Chansamone M Phomakay | Family Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
| 1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
| 1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
| 1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
| 1285690842 | Fort Smith Home Health Agency Inc | Home Infusion | 220 N 12th Street, Ft Smith, AR 72904 | 2006-04-24 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| Find all providers in zip 72904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871106476 | Mkosmo, LLC | Family Medicine | 9524 Wey Bridge Dr, Fort Smith, AR 72916-7007 | 2020-08-25 |
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1144608746 | Good Samaritan Clinic | Family Medicine | 615 North B Street, Fort Smith, AR 72901 | 2015-05-14 |
| 1689003261 | Thomas H Raymond | Family Medicine | 2320 South O Street, Fort Smith, AR 72901 | 2013-11-05 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72904 |
Please comment or provide details below to improve the information on FT SMITH HMA PBC MANAGEMENT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.