ROGER NEAL BISE (NPI# 1649236852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649236852 |
Entity Type | Individual |
Full Name | ROGER NEAL BISE |
Credential | M.D. |
Practice Address |
2713 S 74th St Suite 302 Fort Smith AR 72903-5170 |
Practice Telephone | 4794788555 |
Mailing Telephone | 4794788555 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2009-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
N-8072 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00702260 | 01 | |
AR | QUALCHOICE | 17633000000 | 01 |
AR | 148093002 | 05 |
Street Address |
2713 S 74TH ST SUITE 302 |
City | FORT SMITH |
State | AR |
Zip Code | 72903-5170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144224635 | Andre J. Nolewajka, Md, Pa | Internal Medicine | 2713 S 74th St, Ste 401, Fort Smith, AR 72903-5173 | 2005-06-13 |
1841845229 | Haleigh Wells Myers | Physician Assistant | 2713 S 74th St, Fort Smith, AR 72903-5170 | 2019-08-02 |
1396216321 | Creative Play Therapy LLC | Social Worker | 2713 S 74th St, Fort Smith, AR 72903-5170 | 2018-12-17 |
1083887483 | Rachel Renee Fiori | Psychiatry & Neurology | 2713 S 74th St, Suite 203, Fort Smith, AR 72903-5170 | 2008-04-07 |
1609919836 | Jcwhit P.a. | Pediatrics | 2713 S 74th St, Suite 408, Fort Smith, AR 72903-5170 | 2007-02-15 |
1619020948 | River Vally Dental-facial Imaging LLC | Dentist | 2713 S 74th St, Ste 203, Fort Smith, AR 72903-5170 | 2007-01-19 |
1841381662 | Roger N. Bise, Md Pa | Surgery | 2713 S 74th St, Suite 302, Fort Smith, AR 72903-5170 | 2006-09-27 |
1750390118 | Fort Smith Oral & Maxillofacial Surgery Group Pa-curry and Butler | Dentist | 2713 S 74th St, Suite 201, Fort Smith, AR 72903-5170 | 2006-08-05 |
1831108273 | William E Curry | Dentist | 2713 S 74th St, Suite 201, Fort Smith, AR 72903-5170 | 2006-08-05 |
1306855754 | Monte L Butler | Dentist | 2713 S 74th St, Suite 201, Fort Smith, AR 72903-5170 | 2006-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, 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 |
1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
Find all providers in zip 72903 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
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 Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841381662 | Roger N. Bise, Md Pa | Surgery | 2713 S 74th St, Suite 302, Fort Smith, AR 72903-5170 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780282566 | Lauren Tilley | Surgery | 4301 W Markham St # 720, Little Rock, AR 72205-7101 | 2020-10-13 |
1689021420 | Boyette Facial Plastic Surgery, Pa | Surgery | 9601 Lile Dr., Medical Towers Building 1, Suite 970b, Little Rock, AR 72205-6321 | 2016-05-23 |
1588899645 | Eric Jason Wright | Surgery | 1701 Centerview Dr Ste 201, Little Rock, AR 72211-4312 | 2009-05-19 |
1871666446 | Gary M Petrus Md Pa | Surgery | 2504 Mccain Blvd, Suite 114, North Little Rock, AR 72116-7624 | 2006-11-15 |
1225042377 | Adam G. Newman | Surgery | 200 N College St, Mountain Home, AR 72653-3654 | 2006-07-27 |
1114989233 | Suzanne Wong Yee | Surgery | 11811 Hinson Rd, Little Rock, AR 72212 | 2006-04-04 |
City | FORT SMITH |
Zip Code | 72903 |
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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.