Western Arkansas Plastic & Reconstructive Surgery Center
LBN: Western Arkansas Plastic & Reconstructive Surgery Center
Western Arkansas Plastic & Reconstructive Surgery Center is an health care organization with primary practice located at 8101 Mcclure Dr Ste 301 , Fort Smith AR 72916-6056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty.
Western Arkansas Plastic & Reconstructive Surgery Center can be contacted via phone (479) 709-8300, or through Kelly, James E via phone (479) 709-8300.
Contact Information
Primary practice address
8101 Mcclure Dr Ste 301
Fort Smith AR 72916-6056
Phone: (479) 709-8300
Fax: (479) 709-8315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | E0847 | Arkansas |
Profile Details
| NPI number | 1194730077 |
|---|---|
| LBN Legal business name | Western Arkansas Plastic & Reconstructive Surgery Center |
| DBA Doing business as | |
| Authorized official | Kelly, James E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jan 8th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194730077 | NPPES |
| Arkansas | MEDICAID | 130121001 | |
| Arkansas | MEDICAID | 100000480A |
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