MEDICARE: DR. KIRK D STITES MD

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
1	207RC0000X	Cardiovascular Disease Physician	E1329	AR
2	207RC0000X	Cardiovascular Disease Physician	17840	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00392123	OTHER		RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1437146586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK D STITES MD

Provider Business Mailing Address
First Line	:	PO BOX 3528
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72913-3528
Country	:	US
Telephone Number	:	479-274-2000
Fax Number	:	479-274-2160

Provider Business Practice Location Address
First Line	:	6801 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-4067
Country	:	US
Telephone Number	:	479-274-4700
Fax Number	:	479-274-4799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	04/17/2013

Similar Medicare Providers

1780188193 — BROOKE HOUSER
Practice Location Address:

6801 ROGERS AVE FL 5
FORT SMITH, AR
72903-4067

Practice Phone: 479-274-4400
Practice Fax:

1962454710 — DR. RONALD P. KNOBLOCH M.D.
Practice Location Address:

6801 ROGERS AVE STE 412
FORT SMITH, AR
72903-4067

Practice Phone: 479-573-3947
Practice Fax: 479-478-0548

1568459451 — MARK L STILLWELL M.D.
Practice Location Address:

6801 ROGERS AVE FL 5
FORT SMITH, AR
72903-4067

Practice Phone: 479-274-4100
Practice Fax: 479-274-4199

1356312292 — MERCY HOSPITAL FORT SMITH
Practice Location Address:

6801 ROGERS AVE
FORT SMITH, AR
72903-4067

Practice Phone: 479-573-3866
Practice Fax: 479-573-3867

1386695674 — SAMINA ZAREEN NADVI M.D.
Practice Location Address:

6801 ROGERS AVE
FORT SMITH, AR
72903-4067

Practice Phone: 479-274-3500
Practice Fax: 479-274-3599

1790714269 — DR. PAUL E BEAN MD
Practice Location Address:

6801 ROGERS AVE
FORT SMITH, AR
72903-4067

Practice Phone: 479-452-2077
Practice Fax:

Directions to “ DR. KIRK D STITES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.