Western Arkansas Plastic & Reconstructive Surgery Center
NPI 1194730077ActiveOrganization· Plastic Surgery· Fort Smith, AR
Plastic Surgery in Fort Smith, Arkansas, registered in NPPES in July 2006. The authorized official on file is James E. Kelly, M.D., Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1194730077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Jan 8, 2020 |
| Certified by provider | Jan 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | E0847 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
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