DR. KAETHE KARIN GOODWIN CHIGUMIRA (NPI# 1508327669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508327669 |
| Entity Type | Individual |
| Full Name | DR. KAETHE KARIN GOODWIN CHIGUMIRA |
| Credential | MD |
| Practice Address |
612 S 12th St Fort Smith AR 72901-4702 |
| Practice Telephone | 4797852431 |
| Practice Fax Number | 4797850732 |
| Mailing Telephone | 4797852431 |
| Mailing Fax Number | 4797850732 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
612 S 12TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345052 | Jimmy David Acklin | Family Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2005-06-09 |
| 1245850726 | Poonum Patel | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-24 |
| 1891315008 | Muhammad Ahzam | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-17 |
| 1790305076 | Alex Louis Kearns | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-16 |
| 1326667718 | Amelia Ramzan | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1285253641 | Eric Nguyen | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1932728300 | Lacey Rose Balsmann | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1689222598 | Angelia Stephens | Case Manager/Care Coordinator | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-09-04 |
| 1144873571 | Mariah Hiatt | Social Worker | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-07-24 |
| 1316408826 | Cassandra Sharp | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-03-27 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470263 | Cara Shelby | Student in an Organized Health Care Education/Training Program | 2505 Rannoch Ln, Fort Smith, AR 72908-0960 | 2020-06-07 |
| 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 |
| 1801421037 | Brandee Main | Student in an Organized Health Care Education/Training Program | 7000 Chad Colley Blvd, Fort Smith, AR 72916-6024 | 2020-03-09 |
| 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 |
| 1871084301 | Upton Gardner Siddons Sr. | Student in an Organized Health Care Education/Training Program | Uams - West, 612 South 12th St, Fort Smith, AR 72901 | 2018-05-21 |
| 1952660904 | Nicola Jasmin Kaur Sarohia | Student in an Organized Health Care Education/Training Program | 612 South 12th Street, Fort Smith, AR 72901 | 2012-05-11 |
| 1801416268 | Kally Lane Rains | Student in an Organized Health Care Education/Training Program | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2020-04-25 |
| 1245850726 | Poonum Patel | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-24 |
| 1891315008 | Muhammad Ahzam | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-17 |
| 1790305076 | Alex Louis Kearns | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-16 |
| Find all providers in FORT SMITH | ||||
| 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.