PHILLIP C STITES (NPI# 1821085887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821085887 |
| Entity Type | Individual |
| Full Name | PHILLIP C STITES |
| Credential | MD |
| Practice Address |
1500 Dodson Ave Ste 270 Fort Smith AR 72901-5182 |
| Mailing Address |
Po Box 1644 Fort Smith AR 72902-1644 |
| Practice Telephone | 4797097340 |
| Practice Fax Number | 4797097484 |
| Mailing Telephone | 4797097340 |
| Mailing Fax Number | 4797097484 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | E2778 | AR | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
E2778 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 142944001 | 05 |
| Street Address |
1500 DODSON AVE STE 270 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165295 | Brad Russell Johnson | Dermatology | 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916-9117 | 2005-06-27 |
| 1255788352 | Chelsea Jones Meltzer | Dermatology | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 | 2016-05-18 |
| 1376780098 | The Dermatology Center Pllc | Dermatology | 1500 Dodson Ave, Suite 270, Fort Smith, AR 72901-5182 | 2009-01-16 |
| 1649450172 | Nedil Aldarondo-antonini | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2007-11-13 |
| 1417978958 | George Luke Lewis | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-21 |
| 1598782294 | Jack L Magness Jr. | Dermatology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-17 |
| 1013904176 | Cyril E Severns | Dermatology | 1500 Dodson Ave, Ste 270, Fort Smith, AR 72901-5182 | 2005-10-04 |
| 1447256102 | Sandra Marchese Johnson | Dermatology | 1301 S E St, Fort Smith, AR 72901-4716 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677737 | Prime Medical Group Pllc | Dermatology | 1416 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2020-10-20 |
| 1790384808 | Prime Medical Group Pllc | Dermatology | 625 United Dr Ste 320, Conway, AR 72032-7828 | 2020-10-20 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1528667672 | Prime Medical Group Pllc | Dermatology | 315 Section Line Rd Ste A&b, Hot Springs, AR 71913-6480 | 2020-10-20 |
| 1487064473 | Laura Raquel Battle | Dermatology | 500 South 52nd Street, Rogers, AR 72758-7275 | 2014-04-30 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
| 1710229141 | Mallory Hurst | Dermatology | 800 S Church St Ste 202, Jonesboro, AR 72401 | 2013-03-24 |
| 1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| 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.