HEALTHSTAT ONSITE CLINIC HSM FORT SMITH (NPI# 1235640384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235640384 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC HSM FORT SMITH |
| Practice Address |
4925 State Line Rd Fort Smith AR 72916-4145 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 4796466161 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4925 STATE LINE RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72916-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
| 1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
| 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 |
| Find all providers in zip 72916 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457601007 | Healthstat Arkansas/pace Ind- Harrison | Preventive Medicine | 513 Hwy 62/65 Bypass North, Harrison, AR 72602 | 2012-09-11 |
| 1154449809 | Janan R. Lane | Preventive Medicine | 3721 E Us 412 Hwy, Ste C, Siloam Springs, AR 72761 | 2007-03-27 |
| 1649365651 | Scott W.f. Carle | Preventive Medicine | 10101 Mabelvale Plaza, Ste 3, Little Rock, AR 72205 | 2006-10-04 |
| 1124493523 | Healthstat Onsite Clinic Abcbs Riverfront | Preventive Medicine | 401 W Capitol Ave, Little Rock, AR 72201-3421 | 2015-12-10 |
| 1295113959 | Healthstat Onsite Clinic Arkansas Children's Hospital | Preventive Medicine | 1919 W 12th St, Little Rock, AR 72202-4551 | 2015-05-14 |
| 1568725158 | Healthstat On-site Clinic/abcbs | Preventive Medicine | 401 W Capitol Ave, Suite 345, Little Rock, AR 72201-3421 | 2012-06-19 |
| 1639294820 | Jerry W Daniel | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1780709824 | Eric Holifield | Preventive Medicine | 10101 Mabelvale Plaza Dr Ste 3, Little Rock, AR 72209-5932 | 2007-03-20 |
| 1699890749 | Michelle J Ibsen | Preventive Medicine | 3470 Landers Rd, North Little Rock, AR 72117-2541 | 2007-03-20 |
| 1295793818 | Shirin Ramani Desilva | Preventive Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72916 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC HSM FORT SMITH.
| 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.