SPARKS MEDICAL FOUNDATIN (NPI# 1790880797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790880797 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATIN |
| Other Organization Name | WALDRON PLACE INTERNAL MEDICINE |
| Practice Address |
1501 S Waldron Rd Ste 100 Fort Smith AR 72903-2574 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 4797097310 |
| Practice Fax Number | 4797097315 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2006-09-14 |
| 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-CARE DME | 4454530012 | 01 |
| Other Name | Type Code |
|---|---|
| Waldron Place Internal Medicine | Doing Business As Name - Organization |
| Street Address |
1501 S WALDRON RD STE 100 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629065685 | Russell B Branum | Internal Medicine | 1501 S Waldron Rd, Ste 202, Fort Smith, AR 72903-2574 | 2005-10-04 |
| 1790391969 | Sarah Crawford | Occupational Therapist | 1501 S Waldron Rd, Fort Smith, AR 72903-2574 | 2020-09-22 |
| 1467062695 | Tyler Wayne Tustin | Occupational Therapist | 1501 S Waldron Rd, Fort Smith, AR 72903-2574 | 2020-08-03 |
| 1144676214 | Kids Choice Fort Smith | Dentist | 1501 S Waldron Rd, Suite 200, Fort Smith, AR 72903-2574 | 2016-05-09 |
| 1477843803 | Ft Smith Hma Pbc Management, LLC | Otolaryngology | 1501 S Waldron Rd, Suite 107, Fort Smith, AR 72903-2574 | 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 |
| 1679803738 | Smile Help Dental | Clinic/Center | 1501 S Waldron Rd, Suite 208, Fort Smith, AR 72903-2574 | 2010-01-12 |
| 1598936460 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-03-18 |
| 1801065453 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste. 100, Fort Smith, AR 72903-2574 | 2008-02-28 |
| 1902075435 | Edmund Kennedy | Otolaryngology | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-02-28 |
| 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 | 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 | 72903 |
Please comment or provide details below to improve the information on SPARKS MEDICAL FOUNDATIN.
| 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.