| Uams West | |
|
1301 S E St Fort Smith AR 72901-4716 | |
| (479) 785-2431 | |
| Not Available |
| Full Name | Uams West |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 S E St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Amanda George (VICE CHANCELLOR-CHIEF FINANCIAL OFF) |
| Authorized Official Contact | 5016865670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uams West Po Box 251420 Little Rock AR 72225-1420 Ph: (501) 686-8000 | Uams West 1301 S E St Fort Smith AR 72901-4716 Ph: (479) 785-2431 |
| NPI Number | 1831193531 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 4082528955 |
|---|---|
| Medicare Enrollment ID | O20040124000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831193531 | NPI | - | NPPES |
| 124313069 | Medicaid | AR | |
| CI3968 | Other | RAILROAD MEDICARE | |
| 01181731 | Medicaid | MS | |
| 100699100A | Medicaid | OK | |
| 57231 | Other | AR | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04D0469117 (Arkansas) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| Provider Name | Katherine A Irish Clardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679577381 PECOS PAC ID: 7810890365 Enrollment ID: I20040130000841 |
| Provider Name | Bryan Holland Clardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326042037 PECOS PAC ID: 7315085578 Enrollment ID: I20091109000098 |
| Provider Name | Jimmy Acklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356345052 PECOS PAC ID: 0143355040 Enrollment ID: I20100317000674 |
| Provider Name | Tabasum Imran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801057583 PECOS PAC ID: 1759569858 Enrollment ID: I20110620000399 |
| Provider Name | John C Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467740225 PECOS PAC ID: 4284642083 Enrollment ID: I20111017000132 |
| Provider Name | Christopher T Fortson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770842148 PECOS PAC ID: 6305158825 Enrollment ID: I20150710002329 |
| Provider Name | Edward L Gills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952316366 PECOS PAC ID: 1557330024 Enrollment ID: I20151005000456 |
| Provider Name | Jennifer E Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861868648 PECOS PAC ID: 9133439664 Enrollment ID: I20151112000845 |
| Provider Name | Jessiela Venis Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104168459 PECOS PAC ID: 7911218722 Enrollment ID: I20160812001374 |
| Provider Name | Elizmary C Cyril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760800247 PECOS PAC ID: 8820309487 Enrollment ID: I20170804000646 |
| Provider Name | Upton Gardner Siddons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871084301 PECOS PAC ID: 9335497361 Enrollment ID: I20210806001627 |
| Provider Name | Diem Quynh Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171019 PECOS PAC ID: 9234535014 Enrollment ID: I20210901003916 |
| Provider Name | Kaethe Goodwin Chigumira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508327669 PECOS PAC ID: 6204161581 Enrollment ID: I20220617001168 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |