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Board Certified Plastic Surgeon, P.A.

Specialist in Fort Smith, AR · enumerated 2007 · authorized official Raymond Goodman, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437283983

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Registry record

Entity type Organization (Type 2)
Legal business name Board Certified Plastic Surgeon, P.A.
Other name <Unavail>
Practice address 2717 S 74th St, Fort Smith, AR, 72903
Fax (479) 452-7014
Enumeration date Mar 15, 2007
Last updated in NPPES Dec 31, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License C4716 (AR) Primary

Authorized official

Name Raymond Goodman
Title Owner

Other identifiers

Identifier Type State Issuer
105795001 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-12-31. Verify at npiregistry.cms.hhs.gov.
Where is Board Certified Plastic Surgeon, P.A. located?
The practice location on file with NPPES is in Fort Smith, AR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-31.