YELIZAVETA VALERIYEVNA MAKHATADZE


Address: 7301 Rogers Ave, Fort Smith, AR 72903-4100
Phone: 4793145175

YELIZAVETA VALERIYEVNA MAKHATADZE (NPI# 1891744876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891744876
Entity Type Individual
Full Name YELIZAVETA VALERIYEVNA MAKHATADZE
Credential M.D.
Practice Address 7301 Rogers Ave
Fort Smith
AR 72903-4100
Practice Telephone 4793145175
Practice Fax Number 4793145185
Mailing Telephone 4793145175
Mailing Fax Number 4793145185
Enumeration Date 2006-05-08
Last Update Date 2013-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine E4609 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200116350A 05
AR 159847001 05

Office Location

Street Address 7301 ROGERS AVE
City FORT SMITH
State AR
Zip Code 72903-4100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831182641 Mercy Ambulatory Surgery Center, LLC Clinic/Center 7301 Rogers Ave, Fort Smith, AR 72903-4100 2005-08-26
1801416268 Kally Lane Rains Student in an Organized Health Care Education/Training Program 7301 Rogers Ave, Fort Smith, AR 72903-4100 2020-04-25
1780216200 Gena Pierce Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2020-02-12
1598305732 Lauren L Williams Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2020-01-15
1861049694 Jessica Irgens Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-08-26
1932666013 Samantha Riggs Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-02-26
1851858849 Louise Margaret Barling Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-02-26
1437616554 Sydney Catherine Rogers Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-02-25
1447717608 Caleb Ross Mullis Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-02-25
1538626635 Christy Lenzini Dietitian, Registered 7301 Rogers Ave, Fort Smith, AR 72903-4100 2019-02-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871106476 Mkosmo, LLC Family Medicine 9524 Wey Bridge Dr, Fort Smith, AR 72916-7007 2020-08-25
1396224069 Baptist Health Services Family Medicine 8600 S 36th Ter Ste A, Fort Smith, AR 72908 2018-08-13
1669951315 Baptist Health Services Family Medicine 1500 Dodson Ave Ste 175, 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
1104305853 Baptist Health Services Family Medicine 5428 Ellsworth Rd Ste A, 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
1871072751 Baptist Health Services Family Medicine 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 2018-08-10
1609355528 Baptist Health Services Family Medicine 8600 S 36th Ter Ste B, Fort Smith, AR 72908 2018-08-10
1144608746 Good Samaritan Clinic Family Medicine 615 North B Street, Fort Smith, AR 72901 2015-05-14
1689003261 Thomas H Raymond Family Medicine 2320 South O Street, Fort Smith, AR 72901 2013-11-05
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Competitor

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City FORT SMITH
Zip Code 72903

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Dataset Information

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.

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