WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER


Address: 8101 Mcclure Dr Ste 301, Fort Smith, AR 72916-6056
Phone: 4797098300

WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER (NPI# 1194730077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194730077
Entity Type Organization
Organization Name WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER
Practice Address 8101 Mcclure Dr Ste 301
Fort Smith
AR 72916-6056
Mailing Address Po Box 10810
Fort Smith
AR 72917-0810
Practice Telephone 4797098300
Practice Fax Number 4797098315
Mailing Telephone 4797098300
Mailing Fax Number 4797098315
Enumeration Date 2006-07-29
Last Update Date 2020-01-08
Authorized Official Name JAMES E KELLY III (OWNER)
Authorized Official Telephone 4797098300
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery E0847 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 130121001 05
OK 100000480A 05

Office Location

Street Address 8101 MCCLURE DR STE 301
City FORT SMITH
State AR
Zip Code 72916-6056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144289331 James E. Kelly IIi Plastic Surgery 8101 Mcclure Dr Ste 301, Fort Smith, AR 72916-6056 2006-03-17

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NPI Name Taxonomy Address Enumeration
1205442506 Emerald Asher Massage Therapist 14522 Us 71, Fort Smith, AR 72916 2020-09-22
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1629565072 Womens Center for Health and Wellness, Pllc Obstetrics & Gynecology 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 2018-04-20
1750827036 Angelisa Lambert Nurse Practitioner 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 2017-01-11
1285946004 William Justin Hayes Md Pa Clinic/Center 920 S. Hwy 45, Bonanza, AR 72916 2010-07-09
1255517066 Joshua R Wilkinson Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2008-01-11
1689615445 Twin Rivers Respiratory Care, Inc. Durable Medical Equipment & Medical Supplies 6119 Highway 45, 4, Fort Smith, AR 72916 2006-06-10
1891735098 William Justin Hayes Family Medicine 11300 Roberts Blvd, Chaffee Crossing Clinic, Fort Smith, AR 72916 2006-06-07
1174184923 James Brogan Lopez Dentist 5901 Riley Park Drive, Fort Smtih, AR 72916 2019-06-24
1588121065 Premier Pediatrics Pllc Pediatrics 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 2019-02-21
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346570272 Eugene Fontaine Still II Plastic Surgery 8416 Mile Tree Dr, Fort Smith, AR 72903-4319 2009-12-25
1164039475 Passmore Plastic Surgery LLC Plastic Surgery 7805 Phoenix Ave, Fort Smith, AR 72903-5091 2020-09-30
1023398641 Fort Smith Hma Pbc Management, LLC Plastic Surgery 9207 Highway 71 S, Cisterna Market Suite 9, Fort Smith, AR 72916-9117 2011-08-26
1750612727 Stephanie Leighann Koonce Plastic Surgery 2717 S 74th St, Fort Smith, AR 72903-5100 2010-01-14
1821263765 Joseph Alexander Kelamis Plastic Surgery 2717 S 74th St, Fort Smith, AR 72903-5100 2008-04-22
1528184132 Cooper Clinic Pa Plastic Surgery 3017 S 70th St, Fort Smith, AR 72903-5049 2007-03-22
1760400477 Ann K Passmore Plastic Surgery 7805 Phoenix Ave, Fort Smith, AR 72903-5091 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750706420 Robert Vogel Plastic Surgery 54 Longlea Ct, Little Rock, AR 72212-2767 2014-03-04
1114351970 Norton Allen Pope Plastic Surgery 76 Robinwood Dr, Little Rock, AR 72227-2222 2013-08-29
1710291299 The Center for Plastic Surgery, Plc Plastic Surgery 3733 N Business Dr Ste 102, Fayetteville, AR 72703-5286 2010-07-27
1962648980 R. Douglas Vanderpool Plastic Surgery 2552 E. Joyce Blvd., Suite B, Fayetteville, AR 72703-4553 2008-12-22
1568666444 Plastic Surgery and Hand Center of Nwa, Plc Plastic Surgery 3333 Pinnacle Hills Parkway, Suite 300, Rogers, AR 72758-9000 2007-06-13
1790809002 Michael Andrew Devlin Plastic Surgery 10801 Executive Center Drive, Suite 303, Little Rock, AR 72211 2007-03-19
1508994393 Roger Wilbert Anderson Plastic Surgery 2200 N Rodney Parham Rd, Suite 200, Little Rock, AR 72212-4140 2007-03-01
1013952365 Connie L Hiers Plastic Surgery 1003 Windover Rd, Jonesboro, AR 72401-6007 2006-06-19
1033161609 Gary E Talbert Plastic Surgery 9500 Kanis Road, Ste 501, Little Rock, AR 72205 2006-05-16
1578512646 Jeffrey Herrold Plastic Surgery 135 Medical Park Pl, Hot Springs, AR 71901-8099 2006-05-08
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Competitor

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City FORT SMITH
Zip Code 72916

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Dataset Information

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.

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