FT SMITH HMA PHYSICIAN MANAGEMENT, LLC (NPI# 1366733099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366733099 |
| Entity Type | Organization |
| Organization Name | FT SMITH HMA PHYSICIAN MANAGEMENT, LLC |
| Other Organization Name | SPARKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1500 Dodson Ave Suite 155 Fort Smith AR 72901-5182 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 4797097455 |
| Practice Fax Number | 4797097456 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-04-28 |
| 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 | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sparks Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295025625 | Ft Smith Hma Physician Management, LLC | Family Medicine | 2074 Rice St, Waldron, AR 72958-7435 | 2011-04-19 |
| 1649561366 | Ft Smith Hma Physician Management, LLC | Nurse Practitioner | 1500 Dodson Ave, Suite 230, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1811288541 | Ft Smith Hma Physician Management, LLC | Internal Medicine | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
| 1457642183 | Ft Smith Hma Physician Management, LLC | Hospitalist | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2011-04-28 |
| 1093006728 | Ft Smith Hma Physician Management, LLC | Internal Medicine | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1639460363 | Ft Smith Hma Physician Management, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 Dodson Ave, Suite 260, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1992096622 | Ft Smith Hma Physician Management, LLC | Internal Medicine | 1500 Dodson Ave, Suite 185, Fort Smith, AR 72901-5182 | 2011-04-28 |
| 1578853909 | Ft Smith Hma Physician Management, LLC | Preventive Medicine | 8600 S 36th Ter, Fort Smith, AR 72908-8768 | 2011-04-19 |
| 1114218542 | Ft Smith Hma Physician Management, LLC | Nurse Practitioner | 1501 S Waldron Rd, Suite 100, Fort Smith, AR 72903-2574 | 2011-04-19 |
| Street Address |
1500 DODSON AVE SUITE 155 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548485 | Nabil Akkad | Surgery | 1500 Dodson Ave, Ste 250, Fort Smith, AR 72901-5182 | 2005-09-15 |
| 1518439462 | Paul W Dobbs | Nurse Practitioner | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2018-12-17 |
| 1265986913 | Lisa Deniece Coker | Nurse Practitioner | 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | 2016-08-11 |
| 1720445661 | Joshua Casey | Nurse Anesthetist, Certified Registered | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2016-01-22 |
| 1285003509 | Heather Manchester | Clinical Nurse Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-16 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1730579152 | Elizabeth Ann Clark | Nurse Practitioner | 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 | 2015-01-24 |
| 1851714562 | Stacia Wehunt | Nurse Practitioner | 1500 Dodson Ave, Suite 250, Fort Smith, AR 72901-5182 | 2014-01-31 |
| 1447590864 | Brittney Renae Sivils | Nurse Practitioner | 1500 Dodson Ave, Ste 60, Fort Smith, AR 72901-5182 | 2013-02-21 |
| 1669735759 | Kurt Ehlert, Md, P.a. | Orthopaedic Surgery | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, 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 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457452161 | Patricia J Walz | Psychologist | 1401 S Waldron Rd Ste 206, Fort Smith, AR 72903-2590 | 2006-09-26 |
| 1124273420 | Perspectives Behavioral Health Management, LLC | Psychologist | 612 S 12th St, Fort Smith, AR 72901-4702 | 2008-12-01 |
| 1255382578 | Charles Wayne Winkle | Psychologist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2006-05-12 |
| 1013904978 | Sally A Goforth | Psychologist | 1500 Dodson Ave, Ste240, Fort Smith, AR 72901-5182 | 2005-10-05 |
| 1609863562 | David J Beare | Psychologist | 1500 Dodson Ave, Ste 240, Fort Smith, AR 72901-5182 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1427512128 | Tiffany Marie Wierzbicki | Psychologist | 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 | 2019-01-27 |
| 1770078750 | Sarah Henderson | Psychologist | 10802 Executive Center Dr Ste 100, Little Rock, AR 72211-4377 | 2018-06-22 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1316498744 | Morais Consulting, Pllc | Psychologist | 2723 Foxcroft Rd Ste 202f, Little Rock, AR 72227-6522 | 2016-10-20 |
| 1629426770 | Nicholas Mitrani | Psychologist | 4206 Prince Street, Conway, AR 72034-9398 | 2016-05-31 |
| 1649632407 | Caren R Moore | Psychologist | 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 | 2016-03-22 |
| 1548647381 | Melissa Jean Zielinski | Psychologist | 4301 W Markham St, Slot 589, Little Rock, AR 72205 | 2015-04-30 |
| 1548677693 | Rachel Allen | Psychologist | 11219 Financial Centre Pkwy Ste 310, Little Rock, AR 72211-3868 | 2014-07-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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| 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.