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NPI Code Detail

MEDICARE: FT SMITH RHEUMATOLOGY PC

MEDICARE: FT SMITH RHEUMATOLOGY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285823229
Entity Type Code : Organization
Provider Name (Legal Business Name) : FT SMITH RHEUMATOLOGY PC
Provider Business Mailing Address
First Line : PO BOX 11436
Second Line :
City : FORT SMITH
State : AR
Zip : 72917-1436
Country : US
Telephone Number : 479-573-7800
Fax Number : 479-709-7238
Provider Business Practice Location Address
First Line : 3501 W.E. KNIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6248
Country : US
Telephone Number : 479-573-7800
Fax Number : 479-709-7238
Authorized Official
Title or Position : PHYSICIAN
Name : MR. RUSSELL B BRANUM
Credential : MD
Telephone Number : 479-573-7800
Provider Enumeration Date : 10/16/2007
Last Update Date : 07/21/2022

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1083682108 — DR. STEVEN O SMITH M.D.
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Directions to “FT SMITH RHEUMATOLOGY PC ” Practice Location

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