Fort Smith Hma Pbc Management LLC

Urology in Fort Smith, AR. Organization (NPI-2).

NPI number1619214798

StatusActive

Last updated in NPPESJan 10, 2013

Details

NPI: 1619214798
Entity type: Organization (NPI-2)
Legal business name: Fort Smith Hma Pbc Management LLC
Organization subpart: Yes
Enumeration date: Jan 10, 2013
Last updated: Jan 10, 2013

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208800000X	Urology	–	–	Yes

Other names

Sparks Urology Group (Doing Business As)

Practice location

5500 Ellsworth Rd
Fort Smith, AR 72903-3222

Phone 479-242-2411 · Fax 479-242-2412

Mailing address

5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733

Phone 239-598-3131 · Fax 239-592-0438

Authorized official

Michael L Gingras
Vice President
2395983131

Is something wrong?

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Other Urology Physician providers in Fort Smith, AR

All 10 Urology Physician providers in Fort Smith · All 3,840 providers in Fort Smith

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