SPARKS MEDICAL FOUNDATION (NPI# 1669576237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669576237 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATION |
| Other Organization Name | SPARKS ENDOCRINOLOGY CLINIC |
| Practice Address |
4700 Kelley Hwy Fort Smith AR 72904-5024 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 4795737970 |
| Practice Fax Number | 4795737971 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA COX (CBO SUPPORT MANAGER) |
| Authorized Official Telephone | 4797097057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | M-CAE DME | 4454530005 | 01 |
| Other Name | Type Code |
|---|---|
| Sparks Endocrinology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448757 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 S 16th St, Fort Smith, AR 72901-4626 | 2006-09-20 |
| 1174627665 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2006-09-13 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1598936460 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-03-18 |
| 1801007372 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 240, Fort Smith, AR 72901-5182 | 2007-05-25 |
| 1871624759 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901 | 2007-03-09 |
| 1144387150 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901-4915 | 2007-01-02 |
| 1043308232 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 180, Fort Smith, AR 72901-5182 | 2006-10-11 |
| 1942397252 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1120 Lexington Ave, Fort Smith, AR 72901-5136 | 2006-10-06 |
| 1043310451 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 8600 S 36th Ter, Fort Smith, AR 72908-8768 | 2006-09-25 |
| Street Address |
4700 KELLEY HWY |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363908 | Kevin Blake Metcalf | Dietitian, Registered | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2017-08-24 |
| 1366797060 | Fort Smith Hma Pbc Management, LLC | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2012-07-18 |
| 1053601476 | Ft Smith Hma Pbc Management, LLC | Family Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2011-04-19 |
| 1790097129 | Rahim Khorassanizadeh | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2010-07-14 |
| 1467610758 | Nuttha Ungnapatanin | Internal Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2008-05-23 |
| 1477696284 | Chansamone M Phomakay | Family Medicine | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
| 1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
| 1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
| 1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
| 1285690842 | Fort Smith Home Health Agency Inc | Home Infusion | 220 N 12th Street, Ft Smith, AR 72904 | 2006-04-24 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| Find all providers in zip 72904 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1083193841 | Ki Upchurch | Durable Medical Equipment & Medical Supplies | 3514 Country Club Ave Ste 6, Fort Smith, AR 72903-3300 | 2018-08-11 |
| 1558741611 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8600 Highway 71 S, Fort Smith, AR 72908-8042 | 2015-06-04 |
| 1902299571 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3111 S 70th St Ste 100, Fort Smith, AR 72903-5017 | 2015-03-06 |
| 1457603433 | Western Arkansas Medical LLC | Durable Medical Equipment & Medical Supplies | 3220 S 28th St, Fort Smith, AR 72901-6904 | 2012-10-15 |
| 1982983862 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 4015 Massard Rd, Fort Smith, AR 72903 | 2011-08-10 |
| 1255571154 | Union Medical Supply,llc | Durable Medical Equipment & Medical Supplies | 3401 S 79th St, Fort Smith, AR 72903-6203 | 2009-03-05 |
| 1538317987 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2008-08-28 |
| 1871762930 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1504 Dodson Ave, Fort Smith, AR 72901-5128 | 2008-02-22 |
| 1578731642 | St. Edward Mercy Medical Center | Durable Medical Equipment & Medical Supplies | 7301 Rogers Ave # B, Fort Smith, AR 72903-4100 | 2008-02-12 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72904 |
Please comment or provide details below to improve the information on SPARKS MEDICAL FOUNDATION.
| 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.