| Baptist Health Foot And Ankle Clinic-fort Smith | |
|
1500 Dodson Ave Ste 260, Fort Smith, AR 72901 | |
| (479) 573-7905 | |
| (479) 573-7906 |
| Full Name | Baptist Health Foot And Ankle Clinic-fort Smith |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1500 Dodson Ave Ste 260, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922587690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Raelene Ann Mapes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831186741 PECOS PAC ID: 2062319304 Enrollment ID: I20031216000161 |
| Provider Name | Ronald D. Schlabach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831184837 PECOS PAC ID: 5294620076 Enrollment ID: I20040219000778 |
| Provider Name | Nabil Akkad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477548485 PECOS PAC ID: 0345222014 Enrollment ID: I20040605000101 |
| Provider Name | Ronald P Knobloch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962454710 PECOS PAC ID: 8628055746 Enrollment ID: I20040713000497 |
| Provider Name | Christiaan J. Slabbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770580169 PECOS PAC ID: 5496734964 Enrollment ID: I20040721001510 |
| Provider Name | Suh N Niba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013851 PECOS PAC ID: 9436139292 Enrollment ID: I20040722000347 |
| Provider Name | Abdul-nasser Adjei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124015243 PECOS PAC ID: 8224006655 Enrollment ID: I20040922001091 |
| Provider Name | Arturo E Meade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639166556 PECOS PAC ID: 1355319708 Enrollment ID: I20040922001187 |
| Provider Name | Holly Heaver Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083602825 PECOS PAC ID: 9032187489 Enrollment ID: I20040922001217 |
| Provider Name | Charles Andrew Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558359398 PECOS PAC ID: 0840268298 Enrollment ID: I20040922001227 |
| Provider Name | James T Henry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912995713 PECOS PAC ID: 0345214615 Enrollment ID: I20040923000297 |
| Provider Name | Jon David Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548258361 PECOS PAC ID: 0244208577 Enrollment ID: I20040923000596 |
| Provider Name | David J Beare |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609863562 PECOS PAC ID: 5597733824 Enrollment ID: I20040923000613 |
| Provider Name | James L Bruton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245228055 PECOS PAC ID: 3577531458 Enrollment ID: I20040923001186 |
| Provider Name | Michael Steven Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710973649 PECOS PAC ID: 2668440868 Enrollment ID: I20040923001214 |
| Provider Name | Von Phomakay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306833116 PECOS PAC ID: 2961462072 Enrollment ID: I20041013000892 |
| Provider Name | Richard Allen Hinkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346238441 PECOS PAC ID: 0941260913 Enrollment ID: I20041013001420 |
| Provider Name | Arthur M Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154399590 PECOS PAC ID: 7719961390 Enrollment ID: I20060106000081 |
| Provider Name | Salahuddin Kaddoura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538102322 PECOS PAC ID: 5395748263 Enrollment ID: I20060814000555 |
| Provider Name | Fayz A Hudefi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992740393 PECOS PAC ID: 6305841966 Enrollment ID: I20061003000643 |
| Provider Name | Hrair Simonian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861502973 PECOS PAC ID: 6800895616 Enrollment ID: I20061205000280 |
| Provider Name | Bao N Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265450654 PECOS PAC ID: 4880580646 Enrollment ID: I20061205000328 |
| Provider Name | John Hence Harp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487720744 PECOS PAC ID: 8729186218 Enrollment ID: I20070606000751 |
| Provider Name | Mohammed S Ur Rehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477683886 PECOS PAC ID: 1052412152 Enrollment ID: I20080624000785 |
| Provider Name | Raed N Khairy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538384623 PECOS PAC ID: 3678645959 Enrollment ID: I20080701000487 |
| Provider Name | Ladaryl M Lankford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871708180 PECOS PAC ID: 0345314563 Enrollment ID: I20080806000682 |
| Provider Name | Kalyan Akkineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679780969 PECOS PAC ID: 3577638683 Enrollment ID: I20080822000737 |
| Provider Name | Varant Arzoumanian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790904027 PECOS PAC ID: 6507932852 Enrollment ID: I20080910000284 |
| Provider Name | Chansamone Phomakay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477696284 PECOS PAC ID: 2567518525 Enrollment ID: I20090917000101 |
| Provider Name | Chansamorn Nouansavane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811098403 PECOS PAC ID: 0143367920 Enrollment ID: I20091027000855 |
| Provider Name | Jeffrey K Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588683510 PECOS PAC ID: 8628118288 Enrollment ID: I20091214000195 |
| Provider Name | Tonya L Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952323297 PECOS PAC ID: 1951441526 Enrollment ID: I20091214000251 |
| Provider Name | Matthew Mclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629095328 PECOS PAC ID: 4688714124 Enrollment ID: I20091215000148 |
| Provider Name | John P Agent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649217191 PECOS PAC ID: 2365582624 Enrollment ID: I20091216000595 |
| Provider Name | Donald P Samms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669494860 PECOS PAC ID: 7012057177 Enrollment ID: I20091221000543 |
| Provider Name | Jeffrey A Medlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689692360 PECOS PAC ID: 4587706239 Enrollment ID: I20100119000690 |
| Provider Name | Michael Wolfe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275542581 PECOS PAC ID: 9537201892 Enrollment ID: I20100125000411 |
| Provider Name | Audra M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093815268 PECOS PAC ID: 2668503590 Enrollment ID: I20100621000910 |
| Provider Name | Karen E Thrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093031619 PECOS PAC ID: 0042342909 Enrollment ID: I20100713000567 |
| Provider Name | Brandi E Guthrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073712212 PECOS PAC ID: 6204969108 Enrollment ID: I20100729000109 |
| Provider Name | Stephen Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609815877 PECOS PAC ID: 6204734809 Enrollment ID: I20100825000106 |
| Provider Name | Mohammad N Anower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942465919 PECOS PAC ID: 7113041211 Enrollment ID: I20100826000234 |
| Provider Name | Richard A Wyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912948902 PECOS PAC ID: 1759300254 Enrollment ID: I20101011000608 |
| Provider Name | Robert Parris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043253511 PECOS PAC ID: 8325002546 Enrollment ID: I20110315001036 |
| Provider Name | John D Terrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528262318 PECOS PAC ID: 9335318666 Enrollment ID: I20110803000238 |
| Provider Name | Mohammed A Amari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447353339 PECOS PAC ID: 8426152869 Enrollment ID: I20111118000243 |
| Provider Name | Mark J Fowler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346220449 PECOS PAC ID: 4587812318 Enrollment ID: I20120919000540 |
| Provider Name | Wilson J Cruz-leal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477644979 PECOS PAC ID: 2062601610 Enrollment ID: I20121108000426 |
| Provider Name | Fred E Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356564850 PECOS PAC ID: 9436301371 Enrollment ID: I20121129000017 |
| Provider Name | Brittney Sivils |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447590864 PECOS PAC ID: 5092954883 Enrollment ID: I20130627000458 |
| Provider Name | Charles Moussallem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023318334 PECOS PAC ID: 3678716735 Enrollment ID: I20130821000779 |
| Provider Name | Agnes V Kwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215224704 PECOS PAC ID: 9638313166 Enrollment ID: I20130923000517 |
| Provider Name | Stacia Wehunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851714562 PECOS PAC ID: 6709004658 Enrollment ID: I20140905002079 |
| Provider Name | Joseph K Tetirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386983468 PECOS PAC ID: 9931321536 Enrollment ID: I20141115000067 |
| Provider Name | Monique Thammavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275932253 PECOS PAC ID: 9234453192 Enrollment ID: I20150123001756 |
| Provider Name | Fiorella Nawar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023247558 PECOS PAC ID: 7911222401 Enrollment ID: I20150204000140 |
| Provider Name | Chasidy A Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558752535 PECOS PAC ID: 1254658982 Enrollment ID: I20150318000290 |
| Provider Name | Nycole Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881074151 PECOS PAC ID: 6901112754 Enrollment ID: I20150825004082 |
| Provider Name | Jennifer Tetirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193823 PECOS PAC ID: 4981910486 Enrollment ID: I20150828001427 |
| Provider Name | Natalie D Jordan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023252269 PECOS PAC ID: 6709025455 Enrollment ID: I20150902001129 |
| Provider Name | Gina Marie Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720218894 PECOS PAC ID: 1850557414 Enrollment ID: I20150914000781 |
| Provider Name | Sarahrose S Webster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114151404 PECOS PAC ID: 7416274709 Enrollment ID: I20151001000858 |
| Provider Name | Justin D Voris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356600829 PECOS PAC ID: 0143520635 Enrollment ID: I20151207000903 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20160414000367 |
| Provider Name | Mohammad Owais |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528347614 PECOS PAC ID: 4587951744 Enrollment ID: I20161003001173 |
| Provider Name | Marc Denton Stam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487690186 PECOS PAC ID: 6709782675 Enrollment ID: I20161025002194 |
| Provider Name | Lisa Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265986913 PECOS PAC ID: 1052690831 Enrollment ID: I20161118000706 |
| Provider Name | Faisal H Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598791303 PECOS PAC ID: 5294755088 Enrollment ID: I20170121000106 |
| Provider Name | Marcella Perez Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043431208 PECOS PAC ID: 1759369622 Enrollment ID: I20170201000487 |
| Provider Name | Frieda-anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413077 PECOS PAC ID: 8527343656 Enrollment ID: I20170331001707 |
| Provider Name | Brooke M Youngwolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074049 PECOS PAC ID: 4385921535 Enrollment ID: I20170426000940 |
| Provider Name | Karunakar Akasapu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366671117 PECOS PAC ID: 3779899430 Enrollment ID: I20170802001233 |
| Provider Name | Kyle B Basham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043573355 PECOS PAC ID: 3678715109 Enrollment ID: I20170829002550 |
| Provider Name | Spencer Lewis Mortensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568716744 PECOS PAC ID: 4486964962 Enrollment ID: I20180309001976 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20180510000114 |
| Provider Name | Adebayo Fasanya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508111212 PECOS PAC ID: 1658668827 Enrollment ID: I20180514001589 |
| Provider Name | Erin M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738964 PECOS PAC ID: 3971868175 Enrollment ID: I20180517000210 |
| Provider Name | Daniel Christopher Schroyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720287048 PECOS PAC ID: 7517113624 Enrollment ID: I20180529000687 |
| Provider Name | Amanda L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386137826 PECOS PAC ID: 3577812189 Enrollment ID: I20180815001351 |
| Provider Name | Clyde Ray Redmond |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700952462 PECOS PAC ID: 1355383431 Enrollment ID: I20181003001785 |
| Provider Name | Samantha Shankle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514328 PECOS PAC ID: 8921352303 Enrollment ID: I20181121002390 |
| Provider Name | Frank E Schmidt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154497717 PECOS PAC ID: 7113969296 Enrollment ID: I20181231000955 |
| Provider Name | Ann M Harp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265910749 PECOS PAC ID: 2365428125 Enrollment ID: I20190102000345 |
| Provider Name | Elizabeth E Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856807 PECOS PAC ID: 4385980366 Enrollment ID: I20190111001661 |
| Provider Name | Bobbi J Chenowith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962972844 PECOS PAC ID: 8022355601 Enrollment ID: I20190122001266 |
| Provider Name | Anne L Bowes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740673565 PECOS PAC ID: 0345575379 Enrollment ID: I20190715000231 |
| Provider Name | Divine Ribakare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932441680 PECOS PAC ID: 0244531382 Enrollment ID: I20190821000825 |
| Provider Name | Tara Rae Sandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063069326 PECOS PAC ID: 8325370539 Enrollment ID: I20191021002200 |
| Provider Name | Lino Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588212575 PECOS PAC ID: 9638401649 Enrollment ID: I20191024000545 |
| Provider Name | Ashley Renee Calvillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538424 PECOS PAC ID: 3072948157 Enrollment ID: I20200117001604 |
| Provider Name | Jamie L Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720611361 PECOS PAC ID: 9335570761 Enrollment ID: I20200519000310 |
| Provider Name | Lacey Deshay Kennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861018350 PECOS PAC ID: 0042637530 Enrollment ID: I20200828001816 |
| Provider Name | Eric E Drolshagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598285181 PECOS PAC ID: 3779857602 Enrollment ID: I20200910000562 |
| Provider Name | Amsa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467987875 PECOS PAC ID: 1759700578 Enrollment ID: I20200929000562 |
| Provider Name | Rafay Cheema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649761917 PECOS PAC ID: 3779831078 Enrollment ID: I20200929001720 |
| Provider Name | Fiza Fatima Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740700574 PECOS PAC ID: 1153693783 Enrollment ID: I20201118001699 |
| Provider Name | Saeem Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619497435 PECOS PAC ID: 6204107469 Enrollment ID: I20201119000183 |
| Provider Name | Billie J Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165858 PECOS PAC ID: 5496167819 Enrollment ID: I20201209000775 |
| Provider Name | Rudhir Tandon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245486547 PECOS PAC ID: 6204014616 Enrollment ID: I20210305000148 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20210709002887 |
| Provider Name | Jonathan L Tobey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558749028 PECOS PAC ID: 6608177720 Enrollment ID: I20210713001734 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210716001344 |
| Provider Name | Ayaz Khawaja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881943256 PECOS PAC ID: 4082850888 Enrollment ID: I20210722002175 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210723001429 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20210728000554 |
| Provider Name | Marcella Ruth Mclarty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841295706 PECOS PAC ID: 8022078542 Enrollment ID: I20210728001032 |
| Provider Name | Scott Gregory Bird |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992200331 PECOS PAC ID: 0244633246 Enrollment ID: I20210728003216 |
| Provider Name | Upton Gardner Siddons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871084301 PECOS PAC ID: 9335497361 Enrollment ID: I20210806001627 |
| Provider Name | Gordon W Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235172446 PECOS PAC ID: 5698843050 Enrollment ID: I20210812001740 |
| Provider Name | Kaleb B Smithson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659767531 PECOS PAC ID: 2860708294 Enrollment ID: I20210823003269 |
| Provider Name | Muralikrishna Porandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740787902 PECOS PAC ID: 3476959982 Enrollment ID: I20210909000365 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211208000392 |
| Provider Name | Maria Rosal Visagas Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129250 PECOS PAC ID: 0244627990 Enrollment ID: I20220427000780 |
| Provider Name | Hussam F Hawamdeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326455841 PECOS PAC ID: 6709006547 Enrollment ID: I20220628001912 |
| Provider Name | Samantha Joann Sager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336885839 PECOS PAC ID: 4183005705 Enrollment ID: I20220713003834 |
| Provider Name | Ashley Mohadjer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659767820 PECOS PAC ID: 7911207808 Enrollment ID: I20220720003741 |
| Provider Name | Dakota Lee Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679205173 PECOS PAC ID: 4284016502 Enrollment ID: I20220803002665 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20220824002923 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20220824003812 |
| Provider Name | Srinivasa Venkata Siva Kumar Kasina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558882217 PECOS PAC ID: 7911381645 Enrollment ID: I20220830002760 |
| Provider Name | Cristy Lelievre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396479093 PECOS PAC ID: 3971987066 Enrollment ID: I20220909000207 |
| Provider Name | Nikitha Manem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659925295 PECOS PAC ID: 6406232636 Enrollment ID: I20220926002320 |
| Provider Name | Raveena Manem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639723273 PECOS PAC ID: 4082090220 Enrollment ID: I20220926002539 |
| Provider Name | Dana Michelle Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391858 PECOS PAC ID: 0042696361 Enrollment ID: I20221010002149 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20221012000070 |
| Provider Name | Dolly B Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20221102002405 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20221117002958 |
| Provider Name | Susan A Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20230613001676 |
| Provider Name | Thomas Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20230614000889 |
| Provider Name | Madison Nicole Stave |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164110953 PECOS PAC ID: 3971961343 Enrollment ID: I20230615003250 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20230627000051 |
| Provider Name | Aaron Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558758128 PECOS PAC ID: 6608170741 Enrollment ID: I20230627003542 |
| Provider Name | Sara Elizabeth Askins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770275935 PECOS PAC ID: 0042670648 Enrollment ID: I20230713004208 |
| Provider Name | Ruxandra M Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588770093 PECOS PAC ID: 4284695024 Enrollment ID: I20230724002823 |
| Provider Name | Anas Elkheder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073562930 PECOS PAC ID: 3971533951 Enrollment ID: I20230727003404 |
| Provider Name | Peter Cmorej |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987895 PECOS PAC ID: 8628360153 Enrollment ID: I20230814000714 |
| Provider Name | Timothy Purnell Upchurch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689628745 PECOS PAC ID: 1153325329 Enrollment ID: I20230815001360 |
| Provider Name | Gul Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891942819 PECOS PAC ID: 4385606888 Enrollment ID: I20230817003494 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780930172 PECOS PAC ID: 7214292879 Enrollment ID: I20230828002807 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20230906004404 |
| Provider Name | Dustin J Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230921000372 |
| Provider Name | Ryan Christopher Banning |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356845051 PECOS PAC ID: 8921353350 Enrollment ID: I20231002000214 |
| Provider Name | Mishala M Bateman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659758753 PECOS PAC ID: 9335496264 Enrollment ID: I20231107002655 |
| Provider Name | Sabreen Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20231130002403 |
| Provider Name | Sohrab Rahimi Naini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831352095 PECOS PAC ID: 4082760095 Enrollment ID: I20240106000086 |
| Provider Name | P Subakeesan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366471427 PECOS PAC ID: 2062473309 Enrollment ID: I20240116000578 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20240121000029 |
| Provider Name | Tahir Mohammad Shaikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881340461 PECOS PAC ID: 1355728973 Enrollment ID: I20240124001200 |
| Provider Name | Mustafa Ali Abdul-hussein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972759173 PECOS PAC ID: 2466620380 Enrollment ID: I20240125000764 |
| Provider Name | Madison K Needham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952170524 PECOS PAC ID: 0345685897 Enrollment ID: I20240223003866 |
| Provider Name | Taiwen Chen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629062385 PECOS PAC ID: 9133193246 Enrollment ID: I20240227002954 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20240228004859 |
| Provider Name | John C Vallandigham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265438501 PECOS PAC ID: 1557324241 Enrollment ID: I20240307000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Foot And Ankle Clinic-fort Smith 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Foot And Ankle Clinic-fort Smith 1500 Dodson Ave Ste 260, Fort Smith, AR 72901 Ph: (479) 573-7905 |
Cooper Clinic Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5004 S U St, Fort Smith, AR 72903 Phone: 479-274-6700 Fax: 479-484-4768 | |
Crotty Foot Clinic P A Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-6555 Fax: 479-452-3894 | |
Kenneth Paul Seiter Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Ste 290, Fort Smith, AR 72901 Phone: 479-573-7905 Fax: 479-573-7906 | |
Dr. John D Wright, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 600 S 21st St, Fort Smith, AR 72901 Phone: 479-274-6750 Fax: 479-434-5395 | |
Family Foot Care, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9000 Rogers Ave, Suite B, Fort Smith, AR 72903 Phone: 479-484-6717 Fax: 479-484-9648 | |
Jason L Seiter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Ste 290, Fort Smith, AR 72901 Phone: 479-573-7905 Fax: 479-573-7906 | |
River Valley Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-6767 |